重庆地区1205例男性不育患者精液分析

Analysis on the semen of 1205 infertile malesin in Chongqing area

目的对重庆地区男性不育患者精液参数进行回顾性分析,为评价男性生育力提供依据。方法采用计算机辅助精子分析系统(computer-aided sperm analysis,CASA)对2009年3月至2009年10月到重庆医科大学附属第一医院辅助生殖中心就诊的1205例男性不育患者的精液参照WHO标准进行常规分析,精子形态采用改良巴氏染色法。对所获得的参数,如精液量、pH、密度、存活率、活力、形态等进行分析。结果男性不育患者中精子密度正常者占80.2%,无精症占7.1%,少精症占12.7%。弱精症占男性不育患者的89.1%。畸形精子症占男性不育患者的6.3%。结论采用计算机辅助精子分析系统结合精子形态的改良巴氏染色,对不育患者精液的密度、活力及形态等参数进行分析,可为临床上男性不育症的诊断和治疗提供有力的参考依据。

Objective Retrospective analysis on the semen parameters of infertile men residing in Chongqing area to evaluate the semen quality. Methods The semen parameters of 1205 infertile men of the Out-Patient Department from Mar. 2009 to Oct. 2009 were measured and compared in the light with the World Health Organization （WHO） criteria. Results According to WHO standard,80.2% of infertile males had the normal sperm count,7.1% of azoospermia,and 12.7% of oligozoospermia. And 89.1% were asthenospermia while 6.3% of the cases had abnormal sperm morphology. Conclusion Analysis of semen and sperm morphology with CASA and modified papanicolaou staining method could provide reliable evidence for clinic diagnosis and treatment of infertility.