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["实用精子图"——根据世界卫生组织建议进行的精液分析]

["Practical spermiogram"-semen analysis according to WHO recommendations].

作者信息

Kliesch Sabine

机构信息

Abteilung für Klinische und Operative Andrologie, Centrum für Reproduktionsmedizin und Andrologie (CeRA), Universitätsklinikum Münster (UKM), Albert-Schweitzer-Campus 1, Gebäude D11, 48149, Münster, Deutschland.

出版信息

Urologe A. 2021 May;60(5):647-656. doi: 10.1007/s00120-021-01537-1. Epub 2021 Apr 30.

DOI:10.1007/s00120-021-01537-1
PMID:33929550
Abstract

Semen analysis (spermiogram) is a crucial component of the diagnostic work-up of infertile patients, in cases of cryopreservation of semen for fertility protection prior to potentially gonadotoxic treatment or for the assessment of sperm quality for sperm donation. Practical semen analysis follows the recommendations of the WHO laboratory manual for the examination and processing of human sperm. The aim of semen analysis is to characterize the fertility potential of the male, which is supplemented by clinical and endocrine investigations before a final decision on treatment options is made. Since 2014, semen analysis has been subject to the guidelines on quality assurance in laboratory diagnostics of the Federal Medical Board (Rili-BÄK). In practical terms, the detailed performance of a macroscopic and microscopic analysis of semen is decisive for valid results and subsequent treatment decisions. Additional tests can help to make a better estimation of the fertility parameters.

摘要

精液分析(精子ogram)是不育患者诊断检查的重要组成部分,用于在可能进行性腺毒性治疗之前为保护生育能力而冷冻精液的情况,或用于评估供精的精子质量。实际的精液分析遵循世界卫生组织人类精子检查和处理实验室手册的建议。精液分析的目的是表征男性的生育潜力,在对治疗方案做出最终决定之前,还需进行临床和内分泌检查作为补充。自2014年以来,精液分析一直遵循联邦医学委员会实验室诊断质量保证指南(Rili-BÄK)。实际上,对精液进行宏观和微观分析的详细操作对于获得有效的结果和后续的治疗决策至关重要。额外的测试有助于更好地估计生育参数。

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本文引用的文献

1
Distribution of semen examination results 2020 - A follow up of data collated for the WHO semen analysis manual 2010.2020年精液检查结果分布——对2010年世界卫生组织精液分析手册整理数据的随访
Andrology. 2021 May;9(3):817-822. doi: 10.1111/andr.12983. Epub 2021 Mar 17.
2
Urogenital Infection as a Risk Factor for Male Infertility.泌尿生殖系统感染是男性不育的危险因素。
Dtsch Arztebl Int. 2017 May 12;114(19):339-346. doi: 10.3238/arztebl.2017.0339.
3
Anabolic steroids abuse and male infertility.滥用合成代谢类固醇与男性不育。
Basic Clin Androl. 2016 Feb 6;26:2. doi: 10.1186/s12610-016-0029-4. eCollection 2016.