1816例少精子精液的计算机辅助分析研究

Analysis of 1816 Oligozoospermia with Computer Assisted Sperm Analysis

目的:采用精子计算机辅助精液分析仪对医院就诊患者中少精子症精液质量状况进行调查研究。方法:按《WHO人类精液及精子-子宫黏液相互作用试验检验手册》标准,对本院1816份少精子症精液标本进行分析。采用国产清华同方产精子计算机辅助分析(CASAS-QH-Ⅲ)仪器时轻、中、重弱精子症常规及动态参数指标进行比较分析。结果:在1816份少精子症中,轻度少精子症858份,占47.24%,中度少精子症495份,占27.26%,重度少精子症463份。占25.50%。在轻、中、重弱精子症的比较中,年龄、精液量、液化时间、禁欲时间、pH值之间的差别没有统计学意义(P>0.05)。其他参数之间的比较差别有明显统计学意义(P>0.01)。结论:少精子症是精液异常的主要原因之一,精液常规参数结合精子计算机辅助分析能够更加准确反映精子的受精能力,指导临床治疗。

Objective To study the quality of oligospermia with computer assisted sperm analysis （CASA） in the hospital. Methods The semen quality of 1 816 oligospermie samples were analysed following the standard of 《WHO Laboratory manual for the exmination of human semen and sperm-eervieal mueus interaetion》. Analysis mobility parameters and general parameters of minor.moderate and severe oligospermia with computer assisted sperm analysis. Results Among the 1816 oligospermous samples, the 858 （47.24%） samples were minor,495 （ 27.26% ） samples were meoderate and 463 （ 25.50 % ） were severe. A-mong the minor, moderate, severe oligospermous samples were compared, age. sperm volume.liquefaction time. pH. abstinence time have no differenc（ P 〉 0.05 ）, other parameters such as VSL. V CL. VAP. BCF. LIN. WOB and STR were significant direrence among three groups. Conclusion oligospermia is one of important factors in abnormal quality . General semen parametrers with computer-assisted sperm analysis （CASA） can provide the powerful evidenc for the male infertility, diagnose and treatment.