佛山市1865例男性不育门诊就诊者精液质量分析

目的：分析佛山市3家医院男性不育门诊就诊者精液质量状况。方法严格按照 WHO 操作技术规范，通过计算机辅助精液分析（CASA）技术对佛山市1865例男性不育门诊就诊者的精液进行常规检查和分析，根据精子活力不同分为活力正常组、轻度、中度和重度弱精子症组。结果异常精子浓度者524例（28．1％），异常精子活率者826例（44．3％），异常精子活力者985例（52．8％），畸形精子者713例（38．2％），白细胞精子症者652例（35．0％）；各组运动参数随着活力降低而降低，其中 VSL、VAP、VCL、LIN、STR 及 WOB 等6个指标明显低于活力正常组（P ＜0．05），且轻度、中度和重度弱精子症各组之间活力相比较，结果有明显差异（P ＜0．05）。结论常规参数指标中，结果异常百分率由高到低依次为：精子活力、精子活率、精子畸形率、精液中白细胞、精子浓度、精液液化时间、精液 pH；随着精子活力降低，精子运动参数 VSL、VCL、VAP、LIN、STR 及 WOB 随之下降，各组结果显著降低（P ＜0．05）。

Analysis of semen quality of 1 865 outpatients in male infertile clinic in Foshan city

Objective To analyze the semen quality in the outpatients from 3 male infertile clinics of Foshan city.Methods The semen from 1 865 outpatients with male infertility was detected and analyzed routinely by the CASA technology in strict accordance with the WHO operation technical specifications.The outpatients were divided into the normal group,mild,moderate and severe as-thenospermia groups according to the sperm vitality.Results There were 524 （28.1%）cases of abnormal sperm concentration,826 （44.3%）cases of abnormal sperm viability,985 （52.8%）cases of abnormal sperm motility,713 cases （38.2%）of teratosperm and 652 （35.0%）cases of leukocytospermia in all outpatients;the motion parameters were decreased along with the decrease of activity in each group,in which,the 6 indicators of VSL,VAP,VCL,LIN,STR and WOB were significantly lower than those in the normal activity group with statistical differences（P 〈0.05）,furthermore,the sperm vitality had staitstcally significant differences among the mild,moderate and severe asthenospermia groups （P 〈0.05）.Conclusion In the routine parameter indicators,the sort order of the percentage of abnormal results in turn were sperm motility、sperm viability、sperm deformity rate、semen WBC、sperm concentra-tion、semen liquefaction time、semen pH.With reduced sperm motility,the sperm motion parameters of VSL,VCL,VAP,LIN,STR and WOB were decreased,the results of each group were significantly lowered （P 〈0.05）.