3527例男性不育患者精液检查分析  

Analysis of 3 527 Male Infertile Patients’Semen

作　　者：甘燕玲[1] 孙朝晖[1] 全静雯[1] 陈丽丹[1] 符玉文[1] 

机构地区：[1]广州军区广州总医院检验科,广州510010

出　　处：《现代检验医学杂志》2015年第4期153-154,157,共3页Journal of Modern Laboratory Medicine

摘　　要：目的：分析男性不育患者的精液情况，探讨影响男性不育的因素，为临床治疗提供依据。方法自2012年1月～2014年7月采用西班牙 SQA-V 全自动精液分析仪对男科门诊3527例不育男性的精液进行分析，随机抽取同期80例已育的正常男性精液标本作比较。结果标本中完全正常精液358例，占10.2％，其余3169例标本至少有一项指标异常，占89.8％。各检查指标异常情况百分比为2.7％～61.5％，其中，pH 值异常比例最低，精子活力低比例最高。与已育者精液指标比较，pH 值两组差异无统计学意义（t＝0.065，P ＝0.969）；无精症例数（率）、30 min 内完全液化（率）和 WBC＋～＋＋＋＋例数（率）比较，差异有统计学意义（χ2＝3.214～24.712，P ＜0.05）；其它各项均数比较，差异有统计学意义（t ＝2.523～15.324，P ＜0.05）。结论精液量、液化时间、精子活力、精子活率、精子形态和精子密度等指标异常在男性不育患者精液中最常见，准确分析精液情况可指导临床诊治。Objective To study the influence factors of infertility by analysis of semen sample and reference for clinical treat-ment.Methods 3 527 cases of semen sample were collected from Jan 2012 to Jun 2014.All samples were analysed by SQA-V analyzer and compared with 80 cases of normal semen.Results There were 358 normal samples （10.2%）and 3 169 ab-normal samples （89.8%）.Among the abnormal samples low sperm motility had the highest ratio （2.7%）while abnormal pH had the lowest ratio （61.5%）.All the indexes had significance difference to normal sample expect pH value （t=0.065, P =0.969）.Among them,the comparison of rate had statistical significance（χ2 =3.214~24.712,P 〈0.05）.The compari-son of mean also had statistical significance（t=2.523~15.324,P 〈0.05）.Conclusion Infertility male almost has abnormal index of semen volume,liquefaction time,sperm motility,sperm density,sperm morphology,sperm viability.Accurately sperm analysis can provide objective basis to clinical diagnosis and treatment.

关 键 词：男性不育 精液 精子密度 精子活力 

分 类 号：R698.2[医药卫生—泌尿科学] R446.19[医药卫生—外科学]