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在一家不孕不育诊所就诊的患者中,精子计数正常但存在质量缺陷。

Qualitative defects with normal sperm counts in a patient attending infertility clinic.

作者信息

Goyal Rachna, Kotru Mrinalini, Gogia Aarti, Sharma Sonal

机构信息

Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.

出版信息

Indian J Pathol Microbiol. 2018 Apr-Jun;61(2):233-235. doi: 10.4103/IJPM.IJPM_460_17.

DOI:10.4103/IJPM.IJPM_460_17
PMID:29676364
Abstract

BACKGROUND

Sperm morphology is an important qualitative parameter in semen analysis.

AIM

To assess qualitative defects in the semen with normal sperm counts. Setting and Design: This was a prospective and descriptive study done in a tertiary care center.

MATERIALS AND METHODS

Seventy-five semen samples with normal sperm counts were evaluated. Qualitative defects of sperms on Papanicolaou-stained slides were assessed. The defects were noted as follows: head (tapering head, large head, small head, round head, bifid head), middle piece (bent neck, broad middle piece, excess residual cytoplasm), and tail (coiled tail).

RESULTS

All cases showed the qualitative defects in spite of the normal counts. The defects found in head - pointed/tapering head (1%-20%), round head (1%-7%), large head (1%-3%) and others (0%-2%); in middle piece - bent neck (1%-8%), excess cytoplasm (1%-3%) or broad middle piece (1%-12%); and in tail - coiled tail (1%-5%).

CONCLUSIONS

Qualitative defects are often seen even in cases with normal sperm counts.

摘要

背景

精子形态是精液分析中的一个重要质量参数。

目的

评估精子计数正常的精液中的质量缺陷。地点与设计:这是一项在三级医疗中心进行的前瞻性描述性研究。

材料与方法

对75份精子计数正常的精液样本进行评估。在巴氏染色玻片上评估精子的质量缺陷。记录的缺陷如下:头部(尖头、大头、小头、圆头、双头)、中段(颈部弯曲、中段宽阔、残余细胞质过多)和尾部(卷曲尾)。

结果

尽管精子计数正常,但所有病例均显示出质量缺陷。在头部发现的缺陷——尖头/锥形头(1%-20%)、圆头(1%-7%)、大头(1%-3%)及其他(0%-2%);在中段——颈部弯曲(1%-8%)、细胞质过多(1%-3%)或中段宽阔(1%-12%);在尾部——卷曲尾(1%-5%)。

结论

即使在精子计数正常的病例中也经常可见质量缺陷。

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