部分型圆头精子症患者精液常规参数及精子形态分析

发布时间：2018-04-29 22:36

  本文选题：部分型圆头精子症 + 圆头精子　； 参考：《中华男科学杂志》2017年01期

【摘要】：目的:分析部分型圆头精子症患者精液常规参数及精子形态。方法:选取2013年1月至2016年5月100例部分型圆头精子症患者作为病例组,对照组为非圆头精子症的不育患者180例。根据精液中圆头精子所占比例不同将病例组分成5组:1组(25%~40%)、2组(41%~55%)、3组(56%~70%)、4组(71%~85%)、5组(86%~99%),根据WHO《人类精液检查与处理实验室手册》第5版标准对其进行精液常规分析,包括精子浓度、活动率、前向运动精子百分率,及对不同畸形精子进行计数并计算畸形精子指数(TZI)及精子畸形指数(SDI)。结果:病例组与对照组的精子活动率[(35.76±24.88)%vs(62.03±10.20)%]、前向运动精子百分率[(26.11±20.39)%vs(45.62±6.87)%]、正常形态精子百分率[(1.45±1.45)%vs(5.98±2.21)%]和SDI(1.33±0.11 vs1.27±0.57)相比差异均有统计学意义(P均0.01),两组年龄[(29.82±4.90)岁vs(30.33±3.59)岁]、精子浓度[(46.01±40.38)×10~6/ml vs(54.00±25.15)×10~6/ml]和TZI(1.35±0.11 vs 1.34±0.54)比较差异均无统计学意义(P均0.05);病例组各组精子活动率、前向运动精子百分率、正常形态精子百分率、TZI和SDI均有统计学差异(P均0.01),而年龄和精子浓度均无统计学差异(P均0.05)。随着圆头精子比例的升高,精子头部形态由异质性偏向于均一性。结论:精液中不同比例的圆头精子与精液常规参数和形态学指标密切相关,可对不育患者辅助生殖技术的选择和受精率的预测起一定的提示作用。
[Abstract]:Objective: to analyze the semen routine parameters and sperm morphology in patients with partial round head spermatozoa. Methods: from January 2013 to May 2016, 100 patients with partial round head spermatospermia were selected as the case group, and 180 patients with non-round head spermatozoa as the control group. According to the percentage of round head spermatozoa in semen, the case group was divided into 5 groups: 1 group (25%) and 25% group (2 groups). According to the standard of the fifth edition of WHO, the semen routine analysis, including sperm concentration, was carried out on the basis of the standard of the fifth edition of WHO. The motility rate, the percentage of forward motility spermatozoa, and the count of deformed sperm were counted and the abnormal sperm index (TZI) and sperm deformity index (SDI) were calculated. 缁撴灉:鐥呬緥缁勪笌瀵圭収缁勭殑绮惧瓙娲诲姩鐜嘯(35.76卤24.88)%vs(62.03卤10.20)%],鍓嶅悜杩愬姩绮惧瓙鐧惧垎鐜嘯(26.11卤20.39)%vs(45.62卤6.87)%],姝ｅ父褰㈡，

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