精液常规检验在男性不育诊疗中的应用评价(1)
[摘要] 目的 探讨在男性不育诊疗中进行精液常规检验的临床价值。方法 方便选取1 593例该所接收的男性不育患者，时间为2013年8月—2018年8月期间，患者禁欲2～7 d，手淫法取精，收集完整精液于清洁盖的小杯内，采用北京伟力WLJY-9000彩色精子质量检测系统，检测精子活力、精子密度等。 结果 1 593份不育患者精液检查所有参数均正常的占29.8%(475/1 593)，有一项或多项参数异常的占70.2%(1 118/1 593)。异常组与正常组PH值和精液量比较，差异无统计学意义(t=0.742、-1.171，P>0.05);异常组与正常组精液液化时间、精子数、精子总活力、前向运动力比较，差异有统计学意义(t=-34.527、38.432、28.699、17.234，P<0.05);1 118例异常精液标本中，异常率最高的指标为精子总活力，占22.9%;除去无精子患者，共1 098例患者分为4個年龄段，在这4组间，其中>40岁年龄组前向运动百分率、精液浓度及精子总活力均较其他3个年龄组要低，且呈相对下降趋势(F=10.471、24.547、11.895，P<0.05);经单因素方差分析显示，PH值和精液量、精子正常形态率比较，差异无统计学意义(F=1.341、1.524、2.956，P>0.05);>40岁年龄组患者精液异常率最高，明显高于其他年龄组(χ2=11.391、19.321、16.781，P<0.05)。结论 男性不育患者中精子活力异常比例较高，此外年龄与男性精液质量有一定影响。
[关键词] 男性不育;精液常规检验;精子活力
[中图分类号] R271.14 [文献标识码] A [文章编号] 1674-0742(2020)03(a)-0192-03
Evaluation of Routine Semen Testing in Diagnosis and Treatment of Male Infertility
LAI Zhi-run
Fujian Institute of Family Planning Science and Technology， Fuzhou， Fujian Province， 350011 China
[Abstract] Objective To investigate the clinical value of routine semen testing in the diagnosis and treatment of male infertility. Methods A total of 1 593 male infertile patients received were conrenient selected from August 2013 to August 2018. The patients were abstained for 2～7 d， masturbation was used to extract sperm， and the complete semen was collected in a small cup with a clean lid. Beijing Weili WLJY-9000 color sperm quality detection system was used to detect sperm motility and sperm density. Results The parameters of semen examination of 1 593 infertile patients were normal (29.8% (475/1593))， and one or more parameters were abnormal 70.2% (1 118/1 593). There was no statistically significant difference in PH value and semen volume between the abnormal group and the normal group (t=0.742，-1.171 P>0.05); the semen liquefaction time， sperm count， total sperm motility， and forward motility were compared between the abnormal group and the normal group. The differences were statistically significant (t=-34.527， 38.432， 28.699， 17.234， P<0.05); among the 1 118 abnormal semen specimens， the highest abnormality index was the total sperm motility， which accounted for 22.9%; except for patients with sperm， a total of 1 098 patients were divided into 4 age groups. Among these 4 groups， the percentage of forward exercise， semen concentration， and total sperm motility of the> 40-year-old group were lower than those of the other three age groups， and they showed a relative downward trend(F=10.471， 24.547， 11.895， P<0.05); analysis of univariate analysis of variance showed that there was no statistically significant difference between PH value and semen volume and normal sperm morphology rate (F=1.341， 1.524， 2.956， P>0.05 ); the semen abnormality rate was highest in the> 40-year-old group， which was significantly higher than in other age groups(χ2=11.391， 19.321， 16.781， P<0.05). Conclusion The abnormal proportion of sperm motility is higher in male infertile patients， and age and male semen quality have a certain effect., http://www.100md.com(赖智润)
[关键词] 男性不育;精液常规检验;精子活力
[中图分类号] R271.14 [文献标识码] A [文章编号] 1674-0742(2020)03(a)-0192-03
Evaluation of Routine Semen Testing in Diagnosis and Treatment of Male Infertility
LAI Zhi-run
Fujian Institute of Family Planning Science and Technology， Fuzhou， Fujian Province， 350011 China
[Abstract] Objective To investigate the clinical value of routine semen testing in the diagnosis and treatment of male infertility. Methods A total of 1 593 male infertile patients received were conrenient selected from August 2013 to August 2018. The patients were abstained for 2～7 d， masturbation was used to extract sperm， and the complete semen was collected in a small cup with a clean lid. Beijing Weili WLJY-9000 color sperm quality detection system was used to detect sperm motility and sperm density. Results The parameters of semen examination of 1 593 infertile patients were normal (29.8% (475/1593))， and one or more parameters were abnormal 70.2% (1 118/1 593). There was no statistically significant difference in PH value and semen volume between the abnormal group and the normal group (t=0.742，-1.171 P>0.05); the semen liquefaction time， sperm count， total sperm motility， and forward motility were compared between the abnormal group and the normal group. The differences were statistically significant (t=-34.527， 38.432， 28.699， 17.234， P<0.05); among the 1 118 abnormal semen specimens， the highest abnormality index was the total sperm motility， which accounted for 22.9%; except for patients with sperm， a total of 1 098 patients were divided into 4 age groups. Among these 4 groups， the percentage of forward exercise， semen concentration， and total sperm motility of the> 40-year-old group were lower than those of the other three age groups， and they showed a relative downward trend(F=10.471， 24.547， 11.895， P<0.05); analysis of univariate analysis of variance showed that there was no statistically significant difference between PH value and semen volume and normal sperm morphology rate (F=1.341， 1.524， 2.956， P>0.05 ); the semen abnormality rate was highest in the> 40-year-old group， which was significantly higher than in other age groups(χ2=11.391， 19.321， 16.781， P<0.05). Conclusion The abnormal proportion of sperm motility is higher in male infertile patients， and age and male semen quality have a certain effect., http://www.100md.com(赖智润)
参见：首页 > 医学版 > 医学知识 > 生殖系统 > 男性生殖系统 > 精液