慢性前列腺炎患者精液参数的变化及意义

Changes in semen of chronic prostatitis patients

目的 了解前列腺慢性炎症对患者精液参数及生育的影响。 方法 检查 86例慢性前列腺炎患者和 32名正常生育者的精液 ,并对两组精液主要参数进行比较。 结果 慢性前列腺炎患者的精液量、精子密度、精子活动百分率及精子正常形态百分率平均分别为 2 .0 8ml、91.76× 10 6、6 5 .4 3%和 6 2 .14 %。其精液量、精子活动百分率、精子正常形态百分率显著低于正常生育者 (P =0 .0 0 3,P <0 .0 0 1和P <0 .0 0 1) ,精子密度与正常生育者比较差别无显著性意义 (P =0 .92 2 )。 结论 慢性前列腺炎患者的精液部分主要参数较正常生育者明显降低 ,未发现其对患者的生育有明显影响。

Objective To investigate the changes in semen of chronic prostatitis patients and their impact on the fertile status. Methods The semen of 86 chronic prostatitis patients and 32 fertile volunteers were analyzed,and the main semen parameters of two groups were compared. Results The mean semen volume, sperm motility and normal sperm morphology of the prostitis patients were 2.08 ml,65.43% and 62.14% respectively,significantly lower than those of fertile men( P = 0.003 , P <0.001 and P <0.001),but sperm density of these patients was not significantly lower than that of the fertiles( P =0.922). Conclusions Some unknown factors might impair the functions of prostate in patients with prostatitis,and may be responsible for the poorer quality of semen in these patients.No significant effect on fertility has been observed in this study.