自精保存在生殖保险中的应用及研究进展.pdfVIP

国际生殖健康/ 计划生育杂志 20 11 年7 月第 30 卷第 4 期 J Int Reprod Health Fam Plan ，July 20 11熏 Vol. 30熏 No. 4 309 综述 △ 张军荣综述 姚康寿 审校 【摘 要】 随着人类辅助生殖技术的发展，生殖保险越来越受到重视。由于卵子冷冻还存在一些问 题，所以目前生殖保险仍以男性自身的精子保存（自精保存）为主。精子在冷冻过程中会受到一定的损伤， 其损伤机制是多方面的。而各种冷冻方法对精子存活率和活力的影响并无明显差异。自精保存所需的精 子来源有多种途径，首选为手淫法取精。自精保存适用的对象非常广泛，所有因治疗癌症而存在不育风险 的男性患者，都应冷冻保存精子，但是自精保存仍存在一些问题有待解决。综述自精保存在生殖保险中的 应用及研究进展。 低温保存；精液保存；组织保存；肿瘤；不育，男 雄 性 【关键词】 生殖保险；精子； （ ） Applications of Semen Autopreservation in Reproductive Insurance ZHA NG Jun rong, Y A O Kang shou. Institute of Planned Pare nthood Research of Zhej iang, Hangzhou 310012, China Corresponding author: Y A O Kang shou, E mail: ksyao@163.net 【Abstract 】 With the development of human assisted reproductive technology （粤砸栽 ）, the reproductive insurance is of a focus. Because of problems in oocyte cryopreservation, the reproductive insurance is primarily sperm autopreservation at present. Sperm could be inj ured during cryopreservation to some extent, and inj ury mechanisms were various. Sperm motility and vitality were proksim among those different kinds of freezing methods. There are several sources of sperm in semen autopreservation, but the obtaining ej aculate by masturbation is the first choice. Semen autopreservation can be widely used, all of male patients at risk of infertility because of their cancer treatment should be offered this technique. There are some problems in semen autopreservation at present. 【Key words 】 Reproductive insurance ；Spermatozoa ；Cryopreservation ；Semen preservation ；Tissue preservation ；Neoplasms ；Infertility ，male 渊允 陨灶贼 砸藻责 则燥凿 匀藻葬造贼澡蛐云葬皂 孕造葬灶 袁2011 ，30 ：309-313冤