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[反复流产夫妇循环抗精子抗体和精液免疫抑制物质的评估]

[Evaluation of circulating antisperm antibodies and seminal immunosuppressive material in repeatedly aborting couples].

作者信息

Yan J H

机构信息

General Hospital Nanjing of PLA.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1990 Nov;25(6):343-4, 383.

PMID:2282860
Abstract

Circulating antisperm antibodies (ASA) and immunosuppressive material in seminal plasma (SPIM) were determined by solid-phase enzyme staining method and anticomplement test respectively in 686 patients with abortion, including 285 couples. 241 fertile couples served as control. It revealed that the positive rate of ASA in repeatedly aborting patients was significantly higher than that in fertile controls (P less than 0.001). ASA was also more frequently detected in repeatedly aborting patients than in those having 1-2 abortion. Male partners whose wives aborted 2-6 times had significantly less SPIM than the controls with sperm count and sperm motility also markedly decreased. Meanwhile, the incidence of pyosemia was remarkably higher than that in the controls. It is suggested that ASA and SPIM play an important role in the development of recurrent abortions.

摘要

采用固相酶染色法和抗补体试验分别检测了686例流产患者(包括285对夫妇)的循环抗精子抗体(ASA)和精浆中的免疫抑制物质(SPIM)。以241对有生育能力的夫妇作为对照。结果显示,反复流产患者中ASA的阳性率显著高于有生育能力的对照组(P<0.001)。反复流产患者中ASA的检出率也高于有1 - 2次流产经历的患者。妻子流产2 - 6次的男性伴侣的SPIM显著低于对照组,精子计数和精子活力也明显降低。同时,脓血症的发生率显著高于对照组。提示ASA和SPIM在复发性流产的发生中起重要作用。

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