苏州地区2640例男性不育症患者精液质量分析  

Semen quality analysis of 2 640 infertile men in Suzhou area

作　　者：徐廷云[1,2] 胡嘉波[1] 高华生[3] 陈晓亚[3] 徐文慧[2] 

机构地区：[1]江苏大学基础医学与医学技术学院,江苏镇江212013 [2]苏州卫生职业技术学院,江苏苏州215009 [3]苏州大学附属第二医院检验科,江苏苏州215009

出　　处：《中华男科学杂志》2011年第6期511-515,共5页National Journal of Andrology

基　　金：江苏大学高级人才专项资助(09JDG037)~~

摘　　要：目的:研究苏州地区男性不育症患者精液质量状况。方法:采用计算机辅助精液分析技术,检测2 640例以不育为主诉的男性精液标本的质量。结果:2 640份精液标本中,各项指标均正常的精液占27.35%;a+b级精子百分率异常者占47.35%(1 250/2 640);精子活动率异常者占42.39%(1 119/2 640)。精子活动率和a+b级精子百分率随患者年龄增加呈降低趋势,尤以40岁以上男性降低更为明显。弱精子症和少精子症发病率分别为37.31%(985/2 640)和8.94%(236/2 640),且30岁以上不育男性随年龄增加有增高趋势。随着精子活动率和精子浓度的下降,精子的9项运动参数VCL、VSL、VAP、MAD、LIN、STR、WOB、ALH、BCF明显降低。结论:苏州地区不育男性主要表现为精子活动率降低,尤其是a+b级精子百分率的降低。由于精子活动率、活力以及少精子症和弱精子症的发病率均与年龄有关,提示男性亦有合适的生育年龄。Objective： To study the semen quality of male infertility patients in Suzhou area,China.Methods： We detected the semen quality of 2 640 infertility patients in Suzhou area using computer-assisted semen analysis technology.Results： Of the 2 640 semen samples,27.35% were found normal in all seminal indexes,47.35%（1 250/2 640） abnormal in the percentage of grade a ＋ b sperm,and 42.39%（1 119/2 640） abnormal in sperm motility.The percentage of grade a ＋ b sperm and sperm motility were decreased with the increase of age,more obviously in those over 40 years.The incidences of asthenospermia and oligospermia were 37.31%（985/2 640） and 8.94%（236/2 640）,rising with the increase of age,especially in those older than 30 years.The 9 sperm motion parameters,including VSL,VCL,LIN,MAD,VAP,STR,WOB,ALH and BCF,were significantly reduced with the decrease of sperm motility and sperm concentration.Conclusion： The infertile men in Suzhou area are mainly characterized by a decrease in sperm motility,especially in the percentage of grade a ＋ b sperm.The correlation of age with sperm motility and incidence of asthenospermia and oligospermia suggests that men also have an appropriate childbearing age.

关 键 词：男性不育 精液质量 运动参数 苏州地区 

分 类 号：R698.2[医药卫生—泌尿科学]