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不育男性精液培养及其与精液评估的关系

Culture of seminal fluid in infertile men and relationship to semen evaluation.

作者信息

Gregoriou O, Botsis D, Papadias K, Kassanos D, Liapis A, Zourlas P A

机构信息

2nd Department of Obstetrics and Gynecology, University Areteion Hospital, Athens, Greece.

出版信息

Int J Gynaecol Obstet. 1989 Feb;28(2):149-53. doi: 10.1016/0020-7292(89)90475-x.

DOI:10.1016/0020-7292(89)90475-x
PMID:2563702
Abstract

Bacterial flora of the seminal fluid and its influence on semen quality, was examined in 225 asymptomatic unselected men. Each semen sample was cultured aerobically, anaerobically, for genital mycoplasmas, and for Chlamydia trachomatis. Semen analysis was made according to standard methods recommended by the W.H.O. All 225 semen samples had microbial isolates. All isolates had colony counts of 10(2) colony forming units (cfu/ml). Thirty-three cases had greater than 10(2) cfu/ml, 85 cases had greater than 10(3) cfu/ml and 78 cases greater than 10(5) cfu/ml. The most common organisms isolated were Ureaplasma urealyticum in 86 samples and C. trachomatis in 26 samples. The most frequent abnormal parameters were viability (117 of 212, 52%), motility (85 of 212, 40%) and number of sperm cells (74 of 225, 32.8%). No significant correlation was found between abnormal semen parameters and presence of U. urealyticum, and C. trachomatis. We concluded that asymptomatic bacteriospermia (infection) in the semen did not significantly affect the count, motility or morphologic features of the specimen.

摘要

对225名未经过挑选的无症状男性的精液细菌菌群及其对精液质量的影响进行了检查。每个精液样本都进行了需氧培养、厌氧培养、生殖支原体培养以及沙眼衣原体培养。精液分析按照世界卫生组织推荐的标准方法进行。所有225份精液样本均有微生物分离株。所有分离株的菌落计数均为10²菌落形成单位(cfu/ml)。33例菌落计数大于10²cfu/ml,85例大于10³cfu/ml,78例大于10⁵cfu/ml。分离出的最常见微生物是解脲脲原体,共86份样本;其次是沙眼衣原体,共26份样本。最常见的异常参数是活力(212例中的117例,52%)、运动能力(212例中的85例,40%)和精子细胞数量(225例中的74例,32.8%)。精液参数异常与解脲脲原体和沙眼衣原体的存在之间未发现显著相关性。我们得出结论,精液中无症状菌精症(感染)对样本的计数、运动能力或形态特征没有显著影响。

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