评《WHO人类精液检查与处理实验室手册》(第5版)

A Review of WHO Laboratory Manual for the Examination and Processing of Human Semen(5th Edition)

2010年《WHO人类精液检查与处理实验室手册》(第5版)修订出版。本文就其贡献、修改和缺憾进行了评述。遗憾缺乏中国的数据与资料。正常精子形态4%难以置信和应用。笔者认为:手册不能视为"圣经",WHO的参考值是一个重要的历史记录,但绝对不是终点,而是一个新起点。创建中国特色精液分析是男科学工作者不可推卸的责任。

This paper presents a review of the contribution, revision and defects of the 5th edition of WHO Laboratory Manual for the Examination and Processing of Human Semen published in 2010. The pity is that the book lacks the data from China. The normal spermatozoon morphology as 4% seems incredible and hard to be applied in practice. The reference values provided by WHO are im- portant records of past findings, but do not hold good for all time. The Manual cannot be looked upon as a ＂Bible＂ but a new starting point. It is an inescapable responsibility of Chinese andrologists to establish a set of criteria for human semen analysis specifically applicable to Chinese males.