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近亲结婚病例中的精子尾部发育不全

Sperm tail agenesis in a case of consanguinity.

作者信息

Latini Maurizio, Gandini Loredana, Lenzi Andrea, Romanelli Francesco

机构信息

Department of Medical Pysiopathology, University of Rome "La Sapienza.",Rome, Italy.

出版信息

Fertil Steril. 2004 Jun;81(6):1688-91. doi: 10.1016/j.fertnstert.2003.10.048.

Abstract

OBJECTIVE

To report a case of 100% teratozoospermia in a patient whose family history presented a high degree of consanguinity.

DESIGN

Case report.

SETTING

University-based andrology clinic.

PATIENT(S): A 27-year-old man undergoing infertility evaluation.

INTERVENTION(S): None.

MAIN OUTCOME MEASURE(S): Serum hormone analysis, standard (World Health Organization) semen quality evaluation, sperm ultrastructure, lymphocytic karyotype, and polymerase chain reaction screening for Y chromosome microdeletions in peripheral blood.

RESULT(S): One hundred percent teratozoospermia characterized by shape alterations of the heads and tail agenesis on standard morphology evaluation, which was confirmed using electron microscopy.

CONCLUSION(S): A case of familial infertility in a consanguineous patient characterized by morphological abnormalities of spermatozoa such as tail agenesis, chromatin subcondensation, and residual cytoplasmic droplets.

摘要

目的

报告一例家族史显示高度近亲结婚的患者出现100%畸形精子症的病例。

设计

病例报告。

地点

大学男科诊所。

患者

一名27岁接受不育评估的男性。

干预措施

无。

主要观察指标

血清激素分析、标准(世界卫生组织)精液质量评估、精子超微结构、淋巴细胞核型以及外周血Y染色体微缺失的聚合酶链反应筛查。

结果

在标准形态学评估中,100%畸形精子症表现为头部形态改变和尾部发育不全,这通过电子显微镜得以证实。

结论

一名近亲结婚患者出现家族性不育,其特征为精子形态异常,如尾部发育不全、染色质亚凝聚和残留细胞质滴。

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