摘要
目的通过对男性精液常规检验结果的分析,初步了解和评估男性患者的生育能力,辅助临床进行进一步的诊疗。方法回顾性分析7 586例精液常规检验结果,按照精液体积、pH值、液化时间、精子密度、精子活力和精子畸形率等指标分类统计。结果在7 586例精液常规检验中,精液体积小于2mL有1 450例,占19.1%;pH<7.2有1 372例,占18.1%;液化时间大于60min有2 740例,占36.1%;精子密度小于20×106/mL有989例,占13.0%;精子活力a+b级小于50%有3 719例,占49.0%;精子正常形态率小于15%有3 431例,占45.2%;无精有141例,占1.9%;各项指标均无异常有1 119例,占14.8%。结论精液液化、精子活力及精子畸形率是精液常规检验中异常率最高的指标;精液常规检验为临床男性不育的诊疗提供了重要实验数据,客观正确的结果分析,对判断男性的生育力具有重要意义。
Objective To preliminarily understand and evaluate the fertility ability of male infertility patients by analyzing the semen routine testing results to assist further clinical diagnosis and treatment .Methods 7 586 cases of semen routine detection re‐sults were performed the retrospective analysis and statistics by classification according to the indexes of semen volume ,pH value , liquefaction time ,sperm density ,sperm activity and sperm deformation rate .Results Among 7 586 cases of semen routine examina‐tion ,there were 1 450 cases（19 .1% ） of semen volume less than 2 .0 mL ;1 372 cases （18 .1% ） of pH 〈 7 .2 ;2 740 cases（36 .1% ） of liquefaction time 〉 60 min ;989 cases（13 .0% ） of sperm density lower than 20× 106 /mL ;3 719 cases（49 .0% ） of sperm activity grade a ＋ b less than 50% ;3 431 cases（45 .2% ） of sperm deformation rate less than 15% ;141 cases（1 .9% ） of aspermatism ;1 119 cases （14 .8% ） had no abnormality in each index .Conclusion Semen liquefaction ,sperm motility and sperm deformation rate are the indexes with the highest abnormal rate in the semen routine detection ;the semen routine detection provides the important exper‐imental data for clinical diagnosis and treatment of male infertility ,the objective and correct analysis of the detection result is of great significance to the judgment of male fertility .
出处
《国际检验医学杂志》
CAS
2015年第6期736-737,共2页
International Journal of Laboratory Medicine
关键词
精液常规检验
男性不育
精子
应用评价
semen routine examination
male infertility
spermatozoa
application evaluation
