广州地区男性不育患者精液检查5648例分析  

Analysis of semen detection results of 5648 infertile male cases in Guangzhou

作　　者：李艳[1] 杨晓扬[2] 郭雄波[3] 陈丽丹[3] 田浩[3] 何桂儿 

机构地区：[1]南方医科大学附属何贤纪念医院,广东广州511400 [2]解放军第421医院,广东广州510000 [3]广州军区广州总医院,广东广州510010

出　　处：《中国卫生检验杂志》2014年第8期1125-1127,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的通过对男性不育患者的精液分析探讨男性不育的影响因素,为临床诊治提供参考。方法利用西班牙SQA-V全自动精液分析仪对2012年1月-2013年8月不育门诊5 648例男性患者的精液质量进行分析,并与60例已育男性的正常精液标本进行比较。结果标本中完全正常精液727例,占12.87%,其余4 921例至少有一项指标异常;异常指标中精子活力低所占的比例最高,达到64.57%,pH异常比例最低,仅为2.55%;与正常生育者精液指标比较,除pH、移动角度、摆动度比例、线型性比例和前向性比例外,其他各项指标的差异均有统计学意义,P<0.05。结论男性不育患者普遍存在精子活力、精子活率、精子密度、精子形态、精液量和液化时间等指标异常,准确分析精液质量可为临床诊治提供客观依据。Objective To discuss the influencing factors of male infertility by analysis of semen sample from infertile males,so as to provide reference for clinical diagnosis and treatment. Methods A total of 5648 semen samples were collected from January 2012 to August 2013 for semen quality analysis by SQA-V automatic sperm analyzer,then the results were compared with normal semen specimens from 60 married men. Results There were 727 normal semen samples（ 12. 87%） and 4921 abnormal samples（ at least one abnormal index）. Among the abnormal samples,low sperm motility had the highest proportion（ 64.57%）,while abnormal pH had the lowest proportion（ 2. 55%）. In addition to pH value,MAD,WOB,LIN and STR,other indexes of semen had significant statistical difference between normal males and infertile males（ P 0. 05）. Conclusion The sperm motility,sperm viability,sperm density,sperm morphology,semen volume and liquefaction time were generally found abnormal in male infertility. Accurate sperm quality analysis can provide objective basis for clinical diagnosis and treatment of male infertility.

关 键 词：男性不育 精子活力 精子密度 

分 类 号：R698.2[医药卫生—泌尿科学]