夫精人工授精过程中的精液质量评估

发布时间：2018-02-03 02:58

本文关键词： 处理前前向运动精子总数(TPMSC) 宫腔内人工授精(IUI) 临床妊娠率　出处：《生殖与避孕》2015年09期 　论文类型：期刊论文

【摘要】：目的:分析精液中处理前前向运动精子总数(TPMSC)与处理后前向运动精子总数(PTMSC)的相关性。方法:收集426对不孕夫妇共563个IUI周期的临床资料,统计分析TPMSC与正常形态精子百分率、精子浓度、活力、PTMSC的相关性,按照TPMSC不同分成3个区间组:10×106组(A组)、(10~19)×106组(B组)、≥20×106组(C组),比较这3组的前向运动精子(PMS)回收率和周期临床妊娠率。结果:TPMSC与正常形态精子百分率、精子浓度、活力、PTMSC有显著相关性(P0.001);不同TPMSC数量组处理后PMS回收率无统计学差异(P0.05);周期临床妊娠率分别为6.82%、17.59%、16.35%,A组周期妊娠率明显低于B组、C组(P0.05),B、C组间差异无统计学意义(P0.05)。结论:TPMSC是反映精液质量的重要综合参数,是夫精人工授精选择和评估预后的重要参考指标。
[Abstract]:Objective: to analyze the total number of forward motile sperm (TPMSCC) in semen and the total number of motile sperm (PTMSC) in semen after treatment. Methods: a total of 563 IUI cycles were collected from 426 infertile couples. The correlation between TPMSC and normal sperm morphology, sperm concentration and motility was statistically analyzed. According to the TPMSC, TPMSC was divided into 3 groups: 10 脳 10 ~ 6). Group B (n = 10), group C (n = 20 脳 10 ~ 6). The recovery rate of forward motile sperm (PMS) and the clinical pregnancy rate were compared among the three groups. Results the percentage of normal sperm morphology, sperm concentration and motility were compared with the percentage of normal spermatozoa, sperm concentration and motility. There was a significant correlation between PTMSC and P0. 001; There was no significant difference in PMS recovery after treatment with different TPMSC quantity groups (P 0.05). The clinical pregnancy rate of group A was significantly lower than that of group B (P 0.05). Conclusion\\\
【作者单位】：山东省临沂市妇女儿童医院生殖医学中心;
【分类号】：R714.8
【正文快照】： 男方精液质量是影响夫精宫腔内人工授精(intrauterine insemnation,IUI)成功率的主要因素之一,其中精子浓度、活动率、活力及正常形态精子百分率是反映精液质量的主要参数,各项指标均对IUI存在不同程度的影响。过去有不少研究采用处理后前向运动精子数(processed total motile

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