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无蛋白血提取物在不孕不育症中的应用(作者译)

[Use of no-protein blood extract for infertility and sterility (author's transl)].

作者信息

Hofmann R, Heise H, Mattheus A

出版信息

Zentralbl Gynakol. 1981;103(19):1147-54.

PMID:7315014
Abstract

In vitro studies into the effects of various concentrations of Solcoseryl (Solco, Basle, Switzerland) on selected asthenozoospermia patients have shown rise in motility in 26 per cent of the probands and decline in motility in 17 per cent. Spermatozoan motility was most strongly increased by a five per cent concentration of Solcoseryl.--Fifty-one patients, from whom different spermiographic findings had been earlier obtained, received ten injections of one ampoule of Solcoseryl daily, with weekend pauses inserted. Included were 46 oligozoospermia, 31 asthenozoospermia, and eight hypospermia. Spermiographic checks were undertaken on termination of therapy, and others followed two weeks, four weeks, three months, and six months after termination of therapy. They all gave improved findings, which were most unambiguous with regard to the number of spermia.--Findings were at least temporarily normal after treatment in 58 per cent of the patients with asthenozoospermia. The wives of eleven in 44 patients (25 per cent) with Solcoseryl treatment were pregnant after three months, as established in follow-up examinations. Artificial insemination was applied to 45 patients, among them 37 with maritogenic approach and eight cases with donogenic approach, using Solcoseryl. Eleven pregnancies were obtained from maritogenic insemination. Pregnancy was achieved in 38 per cent of the probands who received cryopreserved donor semen. These findings would not justify the claim of direct conception-producing action for Solcoseryl, in the context of insemination treatment.

摘要

针对不同浓度的索高捷疗(瑞士巴塞尔索尔科公司生产)对特定弱精子症患者的体外研究表明,26%的受测者精子活力上升,17%的受测者精子活力下降。5%浓度的索高捷疗对精子活力的提升最为显著。51名患者(他们之前的精液检查结果各异)每天接受一次注射,每次一安瓿索高捷疗,周末休息。其中包括46例少精子症患者、31例弱精子症患者和8例精子活力低下患者。治疗结束时进行精液检查,治疗结束后两周、四周、三个月和六个月也进行检查。所有检查结果均有所改善,其中精子数量的改善最为明显。在弱精子症患者中,58%的患者治疗后至少暂时恢复正常。在接受索高捷疗治疗的44名患者中,11名患者(25%)的妻子在三个月后的随访检查中确认怀孕。45名患者接受了人工授精,其中37例采用丈夫精液人工授精,8例采用供精人工授精,均使用索高捷疗。丈夫精液人工授精获得了11次妊娠。接受冷冻供精的受测者中有38%成功受孕。在人工授精治疗的背景下,这些结果无法证明索高捷疗具有直接促使受孕的作用。

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