1025例男性精液检测结果和不育原因分析.docVIP

1025例男性精液检测结果和不育原因分析 　　[摘要] 目的 通过对本地区不育男性不同年龄段精液检测结果的分析，了解男性不育症的病因及精液质量状况。方法 采用人工常规分析结合SQA精子质量分析系统，对2014年7月～2015年12月来我院就诊的1025例男性不育患者的精液进行检测，并按≤30岁及30岁两个年龄组对异常结果进行统计分析。 结果 在1025例精液标本中，各项检查指标均在正常范围的205例（占20.00%），其余820例（占80.00%）的标本有一项或多项指标异常。两个年龄组测定结果均值均低于正常判定标准的为精子存活率及精子活动力；异常检出率前三位为：精子存活率（54.83%）、精子活动力（49.85%）及液化时间异常（42.34%）；两个年龄组比较，30岁组液化时间异常检出率为49.27%，明显高于≤30岁组的39.81%，差异有统计学意义（P0.05）。 结论 精液常规检测中任何指标异常都可能导致不孕，除液化时间外年龄对其他检测指标无明显影响，精子存活率降低、活动力下降及液化时间异常是本地区男性不育的主要原因。 　　[关键词] 男性；不育；精液检测；年龄；异常检出率 　　[中图分类号] R698.2 [文献标识码] B [文章编号] 1673-9701（2016）13-0129-04 　　The analysis on test result of semen and causes of infertility from 1025 male 　　WANG Chun ZENG Baihua 　　Department of Clinical Laboratory，Mianyang City Peoples Hospital in Sichuan Province，Mianyang 621000，China 　　[Abstract] Objective To analyze the test results of semen in different age-group of local male sterile，in order to understand the cause of male infertility and the semen quality. Methods The semen quality of 1025 male infertility patients were detected from July 2014 to December 2015 by using artificial routine analysis combined with SQA-V Sperm Quality Analysis System. The abnormal results were statistically analyzed according to age（in less than 30 years old and more than 30 years old）. Results Of the 1025 semen samples， 205 cases（20.0%） were found normal in all seminal indexes， and 820 cases（80.00%） abnormal which had one or more abnormal indexes. The measurement results mean both age groups were lower than normal criteria for sperm activity rate and sperm motility. The abnormal detectable rate ranked the first three places were sperm activity rate（54.83%）， sperm motility（49.85%） and liquefaction time（42.34%） respectively. Between two age groups， the abnormal detection rate of liquefaction time over 30 years was 49.27%， significantly higher in those under 30 years（39.81%）， and the difference had statistical significance（P0.05）. Conclusion Any abnormality in the semen routine examination may lead t