桂西地区1626例男性精液质量分析

目的:对男科就诊患者的精液做常规检测分析,了解本地区男性不育的原因。方法:用计算机辅助精子分析(CASA)技术,按照《WHO人类精液检查与处理实验室手册》(第5版),使用西班牙SCA全自动精液分析系统,对桂西地区1626份男性精液进行分析。结果:1626份男性精液中正常770份(47.35%),精液异常者856份(52.65%),异常标本中精液量异常315份(19.37%),pH异常302份(18.57%),无精子症97份(5.96%),浓度异常314份(19.31%),总数异常388份(23.86%),活力异常331份(20.35%),液化时间异常11份(6.76%),血精52份(3.19%),白细胞精子症94份(5.78%)。结论:桂西地区男性精液质量有所下降,约52.65%的男性精液质量异常,精子活力、精子总数异常所占比例较高,提示精液质量下降是导致男性不育的主要因素。

Analysis ofsemen quality of 1626 infertile men in western Guangxi

Objectives:To investigate the causes of male infertility through analyzing routine parameter of sperm from 1626 patients.Methods:1626 semen samples were analyzed using the SCA semen analysis system in Guangxi,according to the criteria of the 5th edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen (WHO-5).Results:Among 1626 infertile males,there were 770 cases with normal sperm (47.35％),and 856 cases with abnormal sperm (52.65％).Among the abnormal cases,there were 315 (19.37％) cases of abnormal sperm volume,314 (19.31％) cases of abnormal concentration,388 (23.86％) cases of abnormal total sperm count,331(20.35％) cases of abnormal sperm motility,11 (6.76％) cases of abnormal liquefying time,and 302 (18.57％) cases of abnormal PH value.There were 97 azoospermia samples (5.96％),52 hemospermia samples (3.19％),and 94 leukocytospermia samples (5.78％).Conclusion:The sperm quality of infertile males in western Guangxi is markedly decreased and up to 52.65％ of infertile males have abnormal sperm.Abnormal sperm motility and abnormal total sperm count occupy a high proportion,which suggests that the quality decrease of sperm is the main factor causing male infertility.