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常规体外授精中正常受精率患者的精液参数分析
引用本文:王凤英,屈宗银,李玉艳,何畏,俞炽阳,龙玲.常规体外授精中正常受精率患者的精液参数分析[J].第三军医大学学报,2009,31(23):2378-2380.
作者姓名:王凤英  屈宗银  李玉艳  何畏  俞炽阳  龙玲
作者单位:第三军医大学西南医院妇产科,重庆,400038
摘    要:目的 了解常规体外授精(in.vitro fertilization,IVF)中正常受精率患者处理前后精液的参数范围及其对受精结果 的影响.方法 回顾性分析在本生殖医学中心接受常规IVF治疗且获得正常受精及移植胚胎的408个周期的精液参数及其与受精结果 的关系.结果 精子密度正常者399人次(97.79%),而活力正常者仅21人次(5.15%).处理前精液量0.2~8 ml,精子密度(3~400)×10~6个/ml,活率10%~85%,前向运动精子比率(progressive motile sperm,PMS%)2%~40%,前向运动精子总数(total progressive motile sperm count,TPMSC)2~597×10~6.处理后的精子活率、PMS%及精子总数与处理前精子密度、活率、PMS%以及A+B级精子总数均呈显著的正相关(P<0.05).处理后的精子活率与受精率明显相关(r=0.132,P=0.008).结论 常规IVF正常受精者精液参数波动范围大,轻、中度的弱精或少精可能不影响正常受精,但处理后的精子活率可影响受精率.

关 键 词:常规体外受精  精液参数  精子分离

Analysis of semen parameters of patients with normal fertilization rate in conventional IVF-ET cycles
WANG Feng-ying,QU Zong-yin,LI Yu-yan,HE Wei,YU Chi-yang,LONG Ling.Analysis of semen parameters of patients with normal fertilization rate in conventional IVF-ET cycles[J].Acta Academiae Medicinae Militaris Tertiae,2009,31(23):2378-2380.
Authors:WANG Feng-ying  QU Zong-yin  LI Yu-yan  HE Wei  YU Chi-yang  LONG Ling
Institution:WANG Feng-ying,QU Zong-yin,LI Yu-yan,HE Wei,YU Chi-yang,LONG Ling (Department of Obstetrics and Gynecology,Southwest Hospital,Third Military Medical University,Chongqing 400038,China)
Abstract:Objective To investigate the semen relative parameters and their effects on fertilization outcomes. Methods Totally 408 semen samples with normal fertilization rates in conventional in vitro fertilization and embryo transfer (IVF-ET) cycles in our department from January 2006 to July 2008 were collected. The relationship of the semen parameters and fertilized outcomes were retrospectively analyzed. Results Among 408 samples,there were 399 samples (about 97.79%) had normal sperm density,but only 21 samples (...
Keywords:conventional in vitro fertilization  semen/sperm parameter  sperm separation
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