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精子顶体反应检测在宫腔内人工授精中的临床应用价值
引用本文:Zhang K,Fan L,Gong F,Zhu W. 精子顶体反应检测在宫腔内人工授精中的临床应用价值[J]. 中南大学学报(医学版), 2011, 36(7): 687-691. DOI: 10.3969/j.issn.1672-7347.2011.07.018
作者姓名:Zhang K  Fan L  Gong F  Zhu W
作者单位:1.中南大学生殖与干细胞工程研究所,长沙 410078; 2.中信湘雅生殖与遗传专科医院,长沙 410078
摘    要:目的:探讨精子顶体反应(AR)与宫腔内人工授精(IUI)临床妊娠率的关系.方法:对接受IUI治疗的128例患者检测自发AR率、Ca2+载体A23187诱发AR率,收集临床资料,分析精子AR率与IUI临床妊娠率的关系.结果:妊娠组的自发AR率为7.7%,诱发AR率为51.9%,非妊娠组的自发AR率为7.0%,诱发AR率为...

关 键 词:钙离子载体  荧光染色  顶体反应  临床妊娠率  宫腔内人工授精

Sperm acrosome reaction detection in intrauterine insemination
Zhang Ke,Fan Liqing,Gong Fei,Zhu Wenbing. Sperm acrosome reaction detection in intrauterine insemination[J]. Journal of Central South University. Medical sciences, 2011, 36(7): 687-691. DOI: 10.3969/j.issn.1672-7347.2011.07.018
Authors:Zhang Ke  Fan Liqing  Gong Fei  Zhu Wenbing
Affiliation:1.Institute of Human Reproduction and Stem Cell Engineering, Central South University, Changsha 410078; 2.Reproductive and Genetic Hospital of Citic Xiangya, Changsha 410078, China
Abstract:ObjectiveTo investigate the relationship between sperm acrosome reaction (AR) and the clinical pregnancy rate of intrauterine insemination (IUI). MethodsWe detected the sperm spontaneous AR rate and Ca2+ ionophore A23187-induced AR rate in 128 patients who accepted IUI treatment, collected their clinical data and analysed the relationship between sperm AR rate and clinical pregnancy rate of IUI. ResultsThere was no statistical difference between the spontaneous AR rates in the pregnant group and the non-pregnant group (7.7% vs. 7.0%, P>0.05), but there was statistical difference between the induced AR rates(51.9 % vs. 43.5%, P<0.05). There was statistical difference in the clinical pregnancy rate among the 3 IUI groups divided by induced AR rate (≤20.0%, 20.1%-49.9%, and ≥50.0%; 4.8% vs. 12.5% vs. 18.6%, P<0.05). ConclusionThe spontaneous AR rate has nothing to do with the clinical pregnancy rate of IUI, but the induced AR rate is associated with the clinical pregnancy rate of IUI.
Keywords:calcium ionophore  fluorescence staining  acrosome reaction  clinical pregnancy rate  intrauterine insemination  
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