1186例男性不育患者实验室检查结果及病因分析

Laboratory Examination Results of 1 186 Cases of Male Infertility and Etiology Analysis

目的结合新的实验室诊断方法,探讨男性不育患者可能病因,为临床治疗提供更多真实可靠的依据和选择。方法对2004年3月—2005年3月男科门诊收治的男性不育患者按WHO流程图进行诊断分析,在精液常规分析基础上,进一步合理选择精浆生化检测、血清性激素检测、生殖道感染的检测与睾丸活检等检查。结果无精子症10.9%,少精子症21.2%,精浆AsAb阳性7.1%,弱精子症52.7%。结论性功能障碍引起的不育症比例下降,反映人们性观念的进步;弱精子症占男子不育症比例上升最快,其病因和治疗值得探讨;免疫性不育症呈上升趋势,合并的鼻系疾病值得重视。

OBJECTIVE To explore into the etiology of male infertility and provide evidence for chnical treatment. METHOD Based on WHO flow chart, male infertility patients from March 2004 to March 2005 were given diagnosis analysis and various kinds of examination. RESULT Azoospermatism accounted for 10.9%, ohgospermatism 21.2%, seminal plasma AsAb positive 7.1%, and ambly - spermatism 52.7 %. CONCLUSION Since ambly - spermatism becomes the main cause of male infertility, further research is needed to explore into its etiology and treatment. The occurrence of immune infertility is increasing and attention should be paid to the nasal diseases as its complication.