摘要
探讨湖北恩施土家族、苗族自治州男性不育的主要病因，其精液与有生育能力男性有否差异。方法：收集１０年来资料完整的４０３例男性不育的临床资料（称不育组）进行其原发不育因素与继发不育因素的比较。同时把由免疫（抗精子体阳性）、附性腺感染、精索静脉曲张三种因素引起不育的精液量、精子密度、精子活动力、精子活动率等与３５例具有生育能力的男性（为生育组）进行比较。结果：原发不育高于继发不育（Ｐ＜０．０１）：三种不育因素引起不育者继发不育高于原发不育（Ｐ＜０．０１）：三种不育因素引起不育者继发不育高于原发不育（Ｐ＜０．０１）。两组精液量无差异（Ｐ＞０．０５），精索静脉曲张因素的患者与生育组的精子密度无差异（Ｐ＞００５）。其它项均有极显著意义（Ｐ＜０．０１）。结论：①男性存在继发不育，精液常规检查仍是男性生育力判定的重要指标，②重视除精液常规外的其它系列特殊检查。
Objective: To find out the main reason of male infertility in Enshi Prefecture and if the semen of patients differ from that of normal male. Methods: Intact clinical data of 403 male infertility patients (Infertility group) in the past 10 years were collected to be compared regarding primary infertility factor and secondary infertility factor. Meannhile, infertilitg patients Caused by immunity, Paragonad in fection and varicocle were compared with 35 fertilitg males (Fertility group) regarding semen quantitg) sperm density, sperm energia and sperm mobility. Rasults: Primary infertility rate is higher than that of secondary (P<0.01); secondary infereility rate is higher than that of primaty in patients caused by immunitg, paragonad infection and varicocle(P<0. 01). There is no difference of semen quantities between in fertility group and fertility group (P>0.05), nor of sperm densities between varicocle patients and fertility group(P>0.05). The rest items are of great importance (P<0. 01). Conclusion: ①Secondary infertility does exist in male patients, routine ecam on semen is still an important index of male fertility. ②Other serial special exams other than routine eram on semen should. also deserve attention.
出处
《湖北民族学院学报（医学版）》
2000年第3期8-11,共4页
Journal of Hubei Minzu University(Medical Edition)
