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对生育男性和不育男性精子形态异常的评估。

The evaluation of morphological abnormalities of human spermatozoa in fertile and infertile men.

作者信息

Matalliotakis I, Panidis D, Vlassis G, Kalogeropoulos A, Zolindaki A, Koumantakis E

机构信息

Department of Obstetrics and Gynecology, University of Crete, Greece.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1996 May;66(1):65-8. doi: 10.1016/0301-2115(95)02374-7.

DOI:10.1016/0301-2115(95)02374-7
PMID:8735761
Abstract

Spermatozoal morphology in semen from 114 fertile men, 107 infertile men with varicocele and 35 infertile men with infection of the accessory genital organs, aged from 18 to 53 years were evaluated by Papanicolaou-stained smears in order to investigate: (a) the frequency of abnormalities in the neck and tail of spermatozoa with an abnormal head and (b) the ability of prediction of the morphology of one sperm part when the morphology of another part is known. The investigation showed that: (1) morphological abnormalities in the neck are significantly higher (P < 0.001, P < 0.01), when the head was abnormal, compared to spermatozoa with a normal head in fertile men and in men with varicocele, respectively; (2) morphological abnormalities in the tail are also higher (0.05 < P < 0.1) in spermatozoa with an abnormal head in men with infection; (3) the proportional reduction of error (PRE) was low in all cases. Our results show that spermatozoa with abnormal heads more often present morphological abnormalities of their counterparts compared to spermatozoa with normal heads. Nevertheless, no prediction can be made on the nature of the morphology of a part of a spermatozoon on the basis of knowledge of its morphology of another part.

摘要

为了研究

(a)头部异常的精子颈部和尾部的异常频率;(b)当已知精子一个部位的形态时,预测另一个部位形态的能力,我们通过巴氏染色涂片对114名有生育能力的男性、107名患有精索静脉曲张的不育男性和35名患有附属生殖器官感染的不育男性(年龄在18至53岁之间)精液中的精子形态进行了评估。研究表明:(1)在有生育能力的男性和患有精索静脉曲张的男性中,与头部正常的精子相比,头部异常的精子颈部形态异常显著更高(P<0.001,P<0.01);(2)在患有感染的男性中,头部异常的精子尾部形态异常也更高(0.05<P<0.1);(3)所有情况下误差比例减少(PRE)都很低。我们的结果表明,与头部正常的精子相比,头部异常的精子其对应部位更常出现形态异常。然而,根据精子一个部位的形态了解,无法预测另一个部位形态的性质。

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