单侧隐睾史男性精液质量及精子形态学的研究  

Investigation of semen quality and sperm morphology in Men with a history of unilateral cryptorchidism

作　　者：赵学英[1] 张喜庄[1] 刘学伟[1] 杨宝财[1] 梁淑萍[1] 杨继红[1] 杜昆[1] 

机构地区：[1]华北油田公司总医院,河北任丘062552

出　　处：《中国优生与遗传杂志》2010年第12期131-131,128,共2页Chinese Journal of Birth Health & Heredity

基　　金：河北省人口计生委人口与计划生育科研课题;项目编号:2008-B15

摘　　要：目的研究单侧隐睾史男性精液质量及精子形态学状况。方法 26例幼年曾确诊为单侧隐睾并行睾丸固定术的男性,成年后分别检测精子密度、精子活率、精子活力及进行精子形态学分析。对照组为无隐睾病史的体检正常男性30例。结果两组男性的精子密度、精子活率无明显差异(P>0.05),而单侧隐睾史男性精子活力低于对照组(t=4.43,P<0.01),精子畸形率较高(t=4.29,P<0.01)。精子畸形的类型以头部缺陷为主。结论单侧隐睾史男性成年后精液质量下降。幼年阶段及早手术治疗有利于成年后的精子发生。Objective： To investigate semen quality and sperm morphology in men with a history of unilateral cryptorchidism in childhood.Methods：Semen sample were obtained from 26 men with a history of unilateral cryptorchidism in childhood and 30 nomal controls.Semen analysis and sperm morphology were performed using standard procedures.Results：There was no significant difference in sperm density and motility between the two groups,but majority of men with the history had lower sperm activity（t=4.43,P0.01）and higher percentage of abnormal sperm morphology（t=4.29,P0.01）than controls.The head defects were observed as the predominant type of sperm malformation.Conclusion：Semen quality and sperm morphology in men with a history of unilateral cryptorchidism in childhood were poorer than that of normal man.Early surgical management of the undescended testicle can preserve fertility of adulthood.

关 键 词：隐睾症 精液分析 精子形态 

分 类 号：R698.2[医药卫生—泌尿科学]