268例男性不育患者精液质量分析

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摘要目的了解不育男性患者的精液质量现况。方法对2012年6月至2013年7月来南方医科大学附属小榄医院就诊的268位不育男性精液进常规检查和生化检测,对检测结果进行统计分析,并以年龄分组,分析比较各组参数。结果精液质量检查结果中,各参数均正常占21.3%（57/268）,无精子症占1.9%（5/268）。精液常规检查中,精子前向运动异常（28.0%,75/268）发生率高,精子活动率异常（20.9%,56/268）次之;精液生化检测中,精浆锌含量异常（61.6%,165/268）发生率高,精子顶体酶活性异常（46.6%,125/268）次之。各年龄组间仅精子前向运动百分比和精液量差异有统计学意义（P<0.05）。结论不育男性精液质量异常发生率高,精液生化参数的异常比例显著高于精液常规参数的异常比例。

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	黄健云
	莫和国
	蔡锦梅
	李璐琳
	欧水连
	黎泳仪
	陆小琴
	邴晏如

关键词 ：男性不育, 精浆, 锌, 精子顶体酶

Abstract：Objective To investigate the quality of infertile men .Methods Semen routine examination results of 268 infertitle men between June 2012 to July 2013.Semen parameters were analyzed statistically.They wer divided into 5 groups according to age,Semen parameters in each group were comparatively analyzed．Results Of all tested mne,21.3%(7/268) had normal semen parameters,1.9%(5/268) azoospermatism. Of abnormal semen parameters,the percentage of abnormal progressive sperm was superior(28.0%,75/268),and that of the sperm motility was senior（20.9%,56/268）. The percentage of abnormal seminal plasma Zinc was superior （61.6%,165/268）in the perm biochemistry parameters,and that of sperm acrosin activity was senior（46.6%,125/268）.Among the different age groups,there were statistical differences in the sperm volume and the percentage of progressive sperm（P<0.05）. Conclusion Abnormal semen quality was the most frequent infertile causes,and the percentage of abnormal sperm parameters was more than that of sperm biochemistry parameters.

Key words： Male infertility Seminal plasma Zinc Sperm acrosin

基金资助:中山市医学科研基金项目(2013A020207)

通讯作者: 莫和国,男,48岁,大学本科,主任技师, E-mail:byr13326966386@sina.com

引用本文:

黄健云, 莫和国, 蔡锦梅, 李璐琳, 欧水连, 黎泳仪, 陆小琴, 邴晏如. 268例男性不育患者精液质量分析[J]. 实用预防医学, 2015, 22(12): 1509-1510. HUANG Jian-yun, MO He-guo, CAI Jin-mei, LI Lu-lin, LI Yong-yu, LU Xiao-Qin, OU Shui-lian, BIAN Yuan-ru. Analysis on Semen Quality of Infertile Men in some Region. , 2015, 22(12): 1509-1510.

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