Lu Hui, Shi Wen-Bo, Liu Yong, Ding Jia-Ming, Xiao Yu-Fang, Wang Ru-Yao, Xu Di-Ping, Yu Li, Yang Shi, Zhu Yong, Sun Can, Du Hong-Wei, Hu Hong-Liang, Li Zheng
Department of Urology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Human Sperm Bank, Laboratory of Sperm Development and Genetics, Shanghai 200001, China.
Zhonghua Nan Ke Xue. 2012 May;18(5):400-3.
To analyze the distribution characteristics of the main semen parameters of healthy semen donors and normal fertile men in Shanghai, compare the semen quality between the two groups, and investigate the normal reference values of the semen parameters of the fertile population in Shanghai.
We obtained semen samples from 100 healthy donors and 41 fertile men, performed semen analyses according to the WHO (2010) guidelines, and determined the semen volume, sperm concentration, sperm progressive motility, total sperm count and total progressively motile sperm count. We analyzed the distribution of the semen parameters of the normal fertile men, and obtained the lower limits of their normal reference values.
There were no statistically significant differences in the main semen parameters between the healthy donors and normal fertile men (P < 0.05). The lower reference limits for the semen parameters of normal fertile men in Shanghai (P < 0.05) were as follows: sperm concentration > or = 27.3 x 10(6)/ml, sperm progressive motility > or = 8.1%, semen volume > or = 0.82 ml, total sperm count > or = 44.73 x 10(6) per ejaculate, and total progressively motile sperm count > or = 24.68 x 10(6) per ejaculate.
For the evaluation of male fecundity, total sperm count and total progressively motile sperm count may be two better predictors than others.
分析上海地区健康捐精者及正常生育男性主要精液参数的分布特征，比较两组间精液质量，并探讨上海地区有生育能力人群精液参数的正常参考值。
收集100名健康捐精者及41名有生育能力男性的精液样本，按照世界卫生组织（2010年）指南进行精液分析，测定精液量、精子浓度、精子前向运动率、总精子数及总前向运动精子数。分析正常生育男性精液参数的分布情况，得出其正常参考值下限。
健康捐精者与正常生育男性的主要精液参数差异无统计学意义（P < 0.05）。上海地区正常生育男性精液参数的参考下限（P < 0.05）如下：精子浓度≥27.3×10⁶/ml，精子前向运动率≥8.1%，精液量≥0.82 ml，每次射精总精子数≥44.73×10⁶，每次射精总前向运动精子数≥24.68×10⁶。
对于男性生育力评估，总精子数及总前向运动精子数可能是比其他指标更好的预测指标。
