计算机辅助精液检测及精子形态分析在不孕症诊疗中的运用  

Application of computer assisted sperm analysis system and sperm morphological analysis in the diagnosis and treatment of infertility

作　　者：黄晓华[1] 

机构地区：[1]广西南宁市妇幼保健院,南宁530011

出　　处：《中国优生与遗传杂志》2015年第9期104-105,92,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨计算机辅助精液检测及精子形态学分析在不孕症诊疗中的应用价值。方法将我院2012年5月-2014年5月收治的不孕男性患者90例作为观察组,另选90例已经生育或具备生育的健康男性精液作为对照组,进行计算机辅助精液分析和精子形态学分析。结果观察组精液量、精子密度、前向运动精子百分含量显著低于对照组（P〈0.05）,两组精子的p H值及活动率无显著性差异（P〉0.05）;两组动力学参数VSL、VAP、LIN、STR、WOB、ALH、BCF存在显著性差异（P〈0.05）,VCL之间无显著性差异（P〉0.05）;观察组正常形态精子百分率为（10±7）%明显低于对照组（19±8）%（P〈0.05）。结论计算机辅助精液检查及精子形态分析是判断男性生育力的重要检测手段,能为不孕症的诊断和治疗提供依据。Objective：To explore application value of computer assisted sperm analysis system and sperm morphological analysis in the diagnosis and treatment of infertility. Methods：Selected 90 cases of male infertility patients who were treated in our hospital from May 2011 to May 2013 as the observation group. Besides,selected 90 cases who procreated or were sperm donors of male reproductive health as the control group. Then analyzed sperm with the computer and sperm morphological. Results：Sperm quantity,sperm density,percentage of progressive sperm of the observation group were significantly lower than those of the control group（P〈0.05）. There was no significant difference（P〉0.05）in the pH of the sperm and activity rate of the two groups;Dynamic indicators VSL,VAP,LIN,STR,WOB,leisure,BCF of two groups existed significant difference（P〈0.05）,and there was no significant difference between the VCL（P〉0.05）;Normal morphology sperm percentage of the observation group（（10 ±7）%）was significantly lower than that of the control group（（19±8）%）（P〈0.05）. Conclusion：It is an important testing means in the judgment of male fertility to use computer assisted sperm analysis system and sperm morphological analysis and provides a basis for the diagnosis and treatment of infertility.

关 键 词：计算机辅助精液分析 精子形态 不孕症 

分 类 号：R698.2[医药卫生—泌尿科学]