慢性前列腺炎伴不孕不育患者精液结果及精浆PSA和果糖的分析研究

Chronic Prostatitis with Infertility Analysis of Semen Criterion,PSA and Fructose

目的:探讨慢性前列腺炎(CP)伴不孕不育患者精液质量及果特和PSA的变化。方法:研究对象均为男性CP患者。根据精液液化时间是否大于60 min分为两组:精液液化正常组22例,精液延迟液化组20例;另选择正常对照组15例。分析各组精液理化指标,并测定各组精浆中果糖和PSA的含量。结果:精液液化正常组、精液延迟液化组在精子密度、精子活率、活动A级和活动A+B级较正常对照组差异有统计学意义(P<0.01);PSA浓度较正常对照组差异有统计学意义(P<0.01)。精液延迟液化组果糖含量较正常对照组差异有统计学意义(P>0.05)。结论:CP可以引起精子质量降低和化学组分的改变,有可能影响精液的液化过程,导致男性不育。

Objective：The aim of this article was to discuss the variety of semen criterion, seminal plasma fructose and PSA levels in the chronic prostatitis （CP） patients with infertility. Methods： A total of 42 CP patients were enrolled and classified into group A and B. 22 patients of group A with normal semen liquefaction and 20 patients of group B with semen delayed liquefaction were examined. We also added another 15 cases as the control group. We analysed biochemical criterion of. semen, fructose and PSA levels in each group. Results：Sperm density, Sperm motility, a grade motile sperm concentration in group A and group B were significantly lower than group C（P〈0.01）. The PSA significantly lower than group C（P〈0.01）. Seminal plasma fructose in group B was low er than group C（P〈0. 01）. Conclusions：Chronic prostatitis can cause decreased sperm quality and biochemical composition changes, which may affect the process of semen liquefaction and lead male infertility.