慢性前列腺炎对男性不育症患者精液质量影响.docVIP

慢性前列腺炎对男性不育症患者精液质量影响 　　【摘要】目的：探讨男性不育症患者中慢性前列腺炎（CP）的发病情况及其与男性不育的关系。方法：收集我院收治的384例男性不育症病人的临床资料，均行精液常规、前列腺液常规检查及细菌培养，根据检查结果分为两组，非CP组212例和CP组172例，分析CP与男性不育症的相关关系。结果：在384例男性不育症患者中，CP病人有172例，发病率为44.8%；CP组精液液化时间、精子畸形率均明显高于非CP组，CP组在精子a+b活力、精子密度、精子活动率上均明显低于非CP组，差异有统计学意义（P0.05）。结论：CP可影响精子的液化时间、活力和密度等，是导致男性不育的危险因素之一。 　　【关键词】 慢性前列腺炎；不育；相关性 　　Clinical features of chronic prostatitis and its effects on male infertilityCHEN Mingguo， ZHANG Yujie， HAN Bing. Surgery Department， South Branch of Guanganmen Hospital of China Academy of Traditional Chinese Medicine， Beijing 102600， China 　　【Abstract】Objectives： To investigate the prevalence of chronic prostatitis （CP） in male infertility patients and its relationship with male infertility. Methods： 384 patients with male infertility were selected in our hospital and all patients underwent routine semen， prostate liquid conventional detection and bacterial culture. According to detection results， patients were divided into two groups， non-CP group of 212 cases and CP group of 172 cases. The correlation between male infertility and chronic prostatitis were analyzed. Results： 172 out of the 384 patients with male infertility were diagnosed as chronic prostatitis with a prevalence rate of 44.8%； The semen liquefaction time， sperm malformation rate in the CP group were significantly higher than those in the non-CP group， while the sperm a+b activity， sperm density， sperm motility in the CP group were significantly lower than those in the non-CP group， with statistically significant difference （P0.05）. Conclusions： Chronic prostatitis， an induced factor for male infertility， can affect the semen liquefaction time， sperm density and sperm motility and etc. 　　【Key words】Chronic prostatitis； Infertility； Correlation 　　【中图分类号】R 697+. 3【文献标志码】A 　　慢性前列腺炎（chronic prostatitis， CP）是男性较为常见的一种生殖疾病，发病率为5%～50%，严重影响着患者的生活质量和生殖健康[1，2]。CP对男性不育产生了极大的影响，为探讨男性不育与CP的关系，本研究对我院2年间收治的384例男性不育症病人的临床资料进行分析研究。 　　1材料与方法 　　1.1一般材料 　　收集2012年1月至2013年12月间我院泌尿外科就诊