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精液质量与妊娠结局的关系:对534例妊娠的回顾性研究

Relation between semen quality and fate of pregnancy: retrospective study on 534 pregnancies.

作者信息

Homonnai Z T, Paz G F, Weiss J N, David M P

出版信息

Int J Androl. 1980 Oct;3(5):574-84. doi: 10.1111/j.1365-2605.1980.tb00145.x.

DOI:10.1111/j.1365-2605.1980.tb00145.x
PMID:7440016
Abstract

Full semen analysis including sperm and seminal plasma (SP) was performed on 534 men, within 3 months of their wives conception, 65% of the pregnant wives eventually delivered, while the remainder aborted. The abortions were divided into five groups: early abortion (6%), late abortion (3%), repeated abortion (14%), and habitual abortion (12%). SP quality of the husbands of the various groups were identical. The motility and vitality of spermatozoa of the various groups were in the same range. Sperm concentration was significantly higher in the repeated and habitual abortion groups with a tendency to polyzoospermia. The morphology of spermatozoa was much better in these two groups. Generally, sperm quality of the men whose wives were repeated or habitual aborters was better than in the other groups. We could not find any evidence in the routine semen analysis indicating that sperm quality was responsible for the abortions. The reason for the abortions seems to be a female factor or chromosomal aberrations.

摘要

对534名男性在其妻子受孕后3个月内进行了全面的精液分析,包括精子和精浆(SP)。65%的怀孕妻子最终分娩,其余的则流产。流产分为五组:早期流产(6%)、晚期流产(3%)、反复流产(14%)和习惯性流产(12%)。各组丈夫的精浆质量相同。各组精子的活力和生命力处于同一范围。反复流产组和习惯性流产组的精子浓度显著更高,有精子过多症的倾向。这两组的精子形态要好得多。一般来说,妻子为反复流产者或习惯性流产者的男性的精子质量比其他组更好。在常规精液分析中,我们没有发现任何证据表明精子质量是导致流产的原因。流产的原因似乎是女性因素或染色体异常。

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Transl Androl Urol. 2017 Sep;6(Suppl 4):S544-S546. doi: 10.21037/tau.2017.03.13.
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Transl Androl Urol. 2017 Sep;6(Suppl 4):S539-S543. doi: 10.21037/tau.2017.03.46.
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Microdeletion of Y chromosome as a cause of recurrent pregnancy loss.Y染色体微缺失作为复发性流产的一个原因。
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