SQA-V精子质量分析仪检查1264例男性不育症精液质量结果分析

Analysis of results of semen quality from 1264 male infertility patients tested by SQA-V Sperm Quality Analyzer

目的分析1264例精液检验主要指标,探讨男性不育症原因。方法一般性状检查按WHO技术规范[1]和《全国临床检验操作规程》第三版《精液检验》操作,其他指标检验按照SQA-V精子质量分析仪(SpermQualityAnaly-zer)进行操作,并对结果进行分析、比较。结果 1264例精液标本中,87.8%(1110/1264)的患者正常形态精子率下降(平均正常形态精子率只有12.2%),精子活力下降(A级+B级<50%)占74.7%(944/1264),41.0%(518/1264)患者精子凝集增加,30.9%(391/1264)的标本黏稠度异常,液化时间延长者占30.8%(389/1264),白细胞数升高(≥1×106/ml)占24.5%(310/1264),11.5%(145/1264)的患者精子数下降,其中无精子症患者占1.98%(25/1264),颜色异常者占9.2%(116/1264),3.3%(42/1264)的患者精液量异常。结论 SQA-V精子质量分析仪检测出的主要参数中,正常形态精子率下降和精子活力下降是导致男性不育症的最重要因素。

Objective：To explore the causes of male infertility through analyzing main indexes of semen from 1264 patients.Methods：Test the general character according to WHO technical specifications[1]and ＂semen test＂ of ＂national clinical laboratory operation procedure （3th） ＂,carry on other indexes examination according to ＂SQA-V sperm quality analyzer＂,And the results are analyzed and compared.Results：Of the 1264 semen samples,the rate of normal morphology sperm of 87.8% （1110 /1264） patients has dropped （the average rate of normal morphology sperm was only 12.2%）,the sperm motility （A-level ＋ B-level less than50%） was accounted for 74.7% （944 /1264）,the sperm agglutination of 41.0% （518 /1264） patients has increased.the viscosity of 30.9% （391 /1264） semen specimens was abnormal.the extended liquefaction time was accounted for 30.8% （389 /1264）.the ascendant WBC concentration （≥1 × 106 /ml） of semen was accounted for24.5% （310 /1264）.All sperm of11.5% （145 /1264） patients has decreased,including Azoospermic patients were accounted for 1.98% （25 /1264）.Color abnormality was accounted for 9.2% （116 /1264）.the semen volume of 3.3% （42 /1264） patients was anomaly.Conclusions：Of the main parameters tested by SQA-V sperm quality analyzer,the decline of the rate of normal morphology sperm and sperm motility was the most important factor in the leading male infertility.