从4340份精液检查结果分析探讨不育的主要因素

Retrospective analysis of 4340 semen examinations

目的回顾性分析4340份男性生殖系统疾病患者精液标本实验室检查结果,探讨不育的主要因素。方法采用西班牙SCA精液分析系统,按照第5版《WHO人类精液检查与处理实验手册》要求对收集的4340份精液标本进行常规分析,用迈瑞BS-480生化分析仪检测精浆果糖含量。结果 4340份就诊患者标本,全完正常的1857份(43%),异常的2483份(57%),异常标本中,液化异常44份(1.77%),p H异常54份(2.17%),精液量异常303份(12.20%),密度异常616份(24.81%),活力异常1423份(57.31%),精浆果糖异常411份(16.55%),无精子症138份(5.56%),血精52份(2.09%),白细胞精子症89份(3.58%)。结论精液质量降低是导致不育的主要因素,其中以精子活力影响最大。

Objective To evaluate the semen status of patients with male genital system diseases,and also to explore the main influential factors of infertility. Methods 4340 semen samples were analyzed using by the SCA semen analysis system in Spain,according to the fifth edition of WHO Laboratory Manual for the Examination and Processing of Human Semen. And then seminal plasma seminal plasma was detected using the MINDRAY BS-480 biochemical analyzer. Results There were 1857（ 43%） entirely normal semen samples in the total 4340 semen samples of the hospitalized patients,and 2483（ 57%） abnormal specimens,44 samples were semen liquefaction abnormal（ 1. 77%）,54 were p H abnormal（ 2. 17%）,303 were semen volume abnormal（ 12. 20%）,616 were density abnormal（ 24. 81%）,1423 were activity abnormal（ 57. 31%）,411 were seminal plasma fructose abnormal（ 16. 55%）,and there were 138 azoospermia samples（ 5. 56%）,52 hemospermia samples（ 2. 09%）,and 89 leukocytospermia samples（ 3. 58%）. Conclusions The decrease of semen quality is the main factor leading to infertility,among which the sperm motility is the most influential factor.