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男性精液中的单纯疱疹病毒和巨细胞病毒:单纯疱疹病毒在特发性不育中更常见,且与精子参数降低相关

[Herpes simplex virus and cytomegalovirus in male ejaculate: herpes simplex virus is more frequently encountered in idiopathic infertility and correlates with the reduction in sperm parameters].

作者信息

Klimova R R, Chichev E V, Naumenko V A, Gadzhieva Z S, Tsibisov A S, Adieva A A, L'vov D K, Kurilo L F, Shileĭko L V, Ostroumova T V, Sorokina T M, Gavrilov Iu A, Levchuk T N, Iakovenko S A, Vasil'eva S G, Voznesenskaia Iu V, Simonenko E Iu, Kushch A A, Sukhikh G T

出版信息

Vopr Virusol. 2010 Jan-Feb;55(1):27-31.

Abstract

The present investigation was undertaken to study the detection rate of herpes simplex virus (HSV) and cytomegalovirus (CMV) in the ejaculates of males with infertility and to evaluate the impact of virus infection on the major parameters of sperm. Ejaculates from 808 patients were studied. As compared with apparently healthy individuals, the coupled males with primary infertility were found to have HSV more frequently in both the whole ejaculate (31% versus 17%; p = 0.049) and the fraction of actively motile spermatozoa (30% versus 8%; p = 0.016). Ejaculate HSV detection directly correlated with the reduced amount of actively motile spermatozoa (p = 0.0001) and the smaller proportion of morphologically normal forms of germ cells (p = 0.002). CMV was found to have no impact on the motility and morphology of spermatozoids in the ejaculate. Both HSV and CMV in the male ejaculate were significantly more frequently detectable in winter months. The findings lead to the conclusion that HSV is one of the factors for male infertility and can negatively affect the results of assisted reproductive technologies.

摘要

本研究旨在探讨不育男性精液中单纯疱疹病毒(HSV)和巨细胞病毒(CMV)的检出率,并评估病毒感染对精子主要参数的影响。对808例患者的精液进行了研究。与明显健康的个体相比,原发性不育的男性伴侣在整个精液(31%对17%;p = 0.049)和活动精子部分(30%对8%;p = 0.016)中HSV感染更为常见。精液HSV检测与活动精子数量减少(p = 0.0001)和形态正常的生殖细胞比例较小(p = 0.002)直接相关。发现CMV对精液中精子的活力和形态没有影响。男性精液中的HSV和CMV在冬季检出的频率明显更高。研究结果得出结论,HSV是男性不育的因素之一,并且可能对辅助生殖技术的结果产生负面影响。

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