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目的探讨男性不育症患者精子质量与生殖道感染的关系及临床意义。方法收集本院门诊确诊为男性不育患者176例,进行生殖道解脲支原体(Uu)和沙眼衣原体(Ct)检测和精子质量分析。选取年龄相近一年内有生育史的男性150例,纳入对照组,两组平均年龄差异无统计学意义。结果男性不育组Uu的感染率高于对照组(P<0.05);男性不育组Ct的感染率与对照组比较差异无统计学意义(P>0.05),男性不育组与对照组混合感染比较,差异无统计学意义(P>0.05),男性不育组精子活动力(a+b)和精子活动率低于对照组(P<0.05);男性不育组精子缺陷高于对照组(P<0.05),结论男性不育症患者生殖道感染与精子质量存在一定的关系,不明原因男性不育者应重视支原体、衣原体等病原体的检查。
Objective To investigate the relationship between sperm quality and genital tract infection in male infertility and its clinical significance. Methods A total of 176 cases of male infertility diagnosed in our hospital were collected and tested for genital Uu and Ct and sperm quality analysis. A total of 150 males with reproductive history within a year were selected and included in the control group. There was no significant difference in average age between the two groups. Results The infection rate of Uu in male infertility group was higher than that in control group (P <0.05). The infection rate of Ct in male infertility group was not significantly different from that in control group (P> 0.05) Sperm motility (a + b) and sperm motility in male infertility group were lower than those in control group (p <0.05). Sperm defects in male infertility group were higher than those in control group (P0.05) .Conclusion There is a certain relationship between genital tract infection and sperm quality in male infertility. For unexplained male infertility, we should pay attention to the examination of pathogens such as Mycoplasma and Chlamydia.