精液常规检验在男性不育诊疗中的应用研究

Application of semen routine examination in diagnosis and treatment of male infertility

目的:评价精液常规检验在男性不育诊疗中的应用价值,并分析精子常规检验结果。方法:2014年1月-2015年10月,医院共开展227例次精液常规检查,进行液化,观察外观,检测黏稠度、p H值,并以预热精子质量检测仪自动检测,最后进行形态学分析,在显微镜下检查,计算形态正常百分比。结果:体积为(2.99±1.24)m L,p H值为(7.43±0.31),精子浓度为(65.26±41.05)×106/m L,总活力为(62.81%±15.37%)(PR+NR),前项运动力为(43.89%±13.92%)(PR),正常形态精子比率为(11.08±5.14)%;其中无精占3.52%,精液量少占18.94%,p H酸性过高占18.06%,液化时间过长占43.61%,精子浓度过小占11.45%,精子活力过低占47.58%,精子形态正常率过低占55.95%;精子形态正常过低者中头部异常占(98.8±1.15)%、颈部或中断异常占(15.37±4.32)%,尾部异常占(6.43±1.38)%;接受专业治疗,3个月后复查,精液各项指标均达到正常,即92.59%(25/27)。结论:精液常规检验可分析男性不育精子相关原因,并进行针对性治疗,还可进行疗效评价。

Objective: To evaluate the value of semen routine examination in the diagnosis and treatment of male infertility. Methods:227 cases of semen routine examination were carried out. The appearance, viscosity and pH value of the semen were examined by liquid preheated sperm quality tester. Results: There were significant differences between two groups in terms of volume (2.99±1.24) mL, pH(7.43±0.31), sperm concentration (65.26±41.05)×106/mL, total viability (62.81±15.37)%. The percentage of spermatozoa with normal morphology were (11.08±5.14)%. The percentages of spermatozoa were 3.52%, 18.94%, 18.06% and 43.61%; sperm abnormalities were 11.45%; sperm motility was too low (47.58%); sperm morphology normal rate was too low (55.95%), and abnormal sperm morphology was (98.8±1.15)%, abnormal neck (15.37±4.32), tail abnormalities (6.43±1.38)%; receiving professional treatment, Reexamination in 3 months, the semen of the indicators were normal, namely 92.59% (25/27). Conclusion: Semen routine test can analyze male infertility sperm related causes, and targeted therapy, and finally can be evaluated.