男性不育患者解脲支原体感染对精液质量的影响

Male infertility due to ureaplasma urealyticum of semen analysis

目的 了解解脲支原体（Uu）感染对男性不育患者精子形态、存活率、运动参数的影响.方法 采用培养法对138例男性不育症患者精液进行Uu检测.同时,按WHO推荐的方法和标准进行精液常规检测和精子形态学分析;并采用计算机辅助精液分析（CASA）系统进行精子活动参数检测.结果 138例男性不育症患者中检出Uu阳性88例,占63.8%.Uu阳性组患者精液液化时间、pH值和精子畸形率明显高于阴性组（P〈0.01）;而精液量和精子存活率两组之间差异不明显（P〉0.05）.CASA检测结果显示,Uu阳性组患者精子头部直线运动速度（VSL）和前向性（STR）明显低于Uu阴性组（P〈0.05）.结论 Uu感染是男性不育患者精液质量下降的原因之一.

Objective Realizing the functions （morphology of spermatozoa, survival rate of spermatozoa, spermatic motion parameter） of semen which were infected with ureaplasma urealyticum （Uu）.Methods Using broth cultured 138 specimens of semen from the infertile patients. While cheek the survival rate of spermatozoa with eosiny intravital staining of spermatozoa. In accordance with WHO standard and analysis on morphology of spermatozoa （Papanicolaou＇s stain） to infertile patients of 138 cases. Get the locomotion parameter with CASA. Results The difference between infected and non-infected with Uu patients in malformed rate, VSL and STR was distinctly diversity （P〈0.05）. Conclusion Uu infection is one of factor which makes the bad functions of semen.