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[苏州地区2640例不育男性精液质量分析]

[Semen quality analysis of 2 640 infertile men in Suzhou area].

作者信息

Xu Ting-Yun, Hu Jia-Bo, Gao Hua-Sheng, Chen Xiao-Ya, Xu Wen-Hui

机构信息

School of Preclinical Medicine and Laboratory Medicine, Jiangsu University, Zhenjiang, Jiangsu 212013, China.

出版信息

Zhonghua Nan Ke Xue. 2011 Jun;17(6):511-5.

Abstract

OBJECTIVE

To study the semen quality of male infertility patients in Suzhou area, China.

METHODS

We detected the semen quality of 2 640 infertility patients in Suzhou area using computer-assisted semen analysis technology.

RESULTS

Of the 2 640 semen samples, 27.35% were found normal in all seminal indexes, 47.35% (1 250/2 640) abnormal in the percentage of grade a + b sperm, and 42.39% (1 119/2 640) abnormal in sperm motility. The percentage of grade a + b sperm and sperm motility were decreased with the increase of age, more obviously in those over 40 years. The incidences of asthenospermia and oligospermia were 37.31% (985/2 640) and 8.94% (236/2 640), rising with the increase of age, especially in those older than 30 years. The 9 sperm motion parameters, including VSL, VCL, LIN, MAD, VAP, STR, WOB, ALH and BCF, were significantly reduced with the decrease of sperm motility and sperm concentration.

CONCLUSION

The infertile men in Suzhou area are mainly characterized by a decrease in sperm motility, especially in the percentage of grade a + b sperm. The correlation of age with sperm motility and incidence of asthenospermia and oligospermia suggests that men also have an appropriate childbearing age.

摘要

目的

研究中国苏州地区男性不育患者的精液质量。

方法

采用计算机辅助精液分析技术检测苏州地区2640例不育患者的精液质量。

结果

在2640份精液样本中,所有精液指标均正常的占27.35%,a + b级精子百分比异常的占47.35%(1250/2640),精子活力异常的占42.39%(1119/2640)。a + b级精子百分比和精子活力随年龄增长而下降,40岁以上者更为明显。弱精子症和少精子症的发生率分别为37.31%(985/2640)和8.94%(236/2640),随年龄增长而上升,尤其是30岁以上者。随着精子活力和精子浓度的降低,包括直线运动速度(VSL)、曲线运动速度(VCL)、直线性(LIN)、平均路径速度(MAD)、平均移动角度(VAP)、摆动性(STR)、鞭打频率(WOB)、侧摆幅度(ALH)和鞭打频率(BCF)在内的9项精子运动参数显著降低。

结论

苏州地区不育男性主要表现为精子活力下降,尤其是a + b级精子百分比降低。年龄与精子活力以及弱精子症和少精子症发生率的相关性表明男性也存在适宜的生育年龄。

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