摘要
弱精子症是男性不育最常见的类型之一,是复杂多因素作用的结果,有30%~40%的病例无法明确病因和发病机制。有鉴于此,中国医师协会生殖医学专业委员会生殖男科学组组织了生殖男科领域的专家,从弱精子症的病因、诊断流程以及个体化治疗方案等多个方面进行了深入的探讨。主要内容包括基于2次及以上精液检测结果的弱精子症分级标准;建议进行精子存活率检测、形态学分析、阴囊超声检查、经直肠超声检查和遗传学检测等明确弱精子症的病因;推荐针对弱精子症病因的治疗,经验性治疗以及辅助生殖技术助孕。本共识可为从事生殖医学、男科学的专业医务人员提供专家咨询建议和诊疗参考方案。
Asthenozoospermia is one of the most common types of male infertility.As a result of complex and multi-factorial effects,about 30%to 40%of the cases cannot be clarified with clear causes and pathogenesis.Therefore,Reproductive Andrology Group,Reproductive Medicine Professional Committee of Chinese Medical Doctor Association organized experts in the field of reproductive andrology to conduct in-depth discussions on the causes of asthenozoospermia,diagnosis procedures,and individualized managements.The main points include grading of asthenozoospermia based on the twice or more results of semen analysis;recommending sperm vitality and morphological analysis,scrotal ultrasound examination,transrectal ultrasonography,genetic testing,etc.to determine the causes of asthenospermia;recommending treatments according to the causes of asthenozoospermia,empirical managements and artificial assisted reproduction.This consensus can provide expert consultation and advice for medical professionals engaged in reproductive medicine and andrology.
作者
中国医师协会生殖医学专业委员会生殖男科学组弱精子症诊疗中国专家共识编写组
熊承良
谷翊群
唐运革
汤冬冬
杨晓玉
Chinese Expert Consensus Compilation Group for Asthenozoospermia Diagnosis and Treatment,Reproductive Andrology Group,Reproductive Medicine Professional Committee of Chinese Medical Doctor Association;Xiong Chengliang;Gu Yiqun;Tang Yunge
出处
《中华生殖与避孕杂志》
CSCD
北大核心
2021年第7期593-599,共7页
Chinese Journal of Reproduction and Contraception
关键词
弱精子症
诊断
治疗
专家共识
Asthenozoospermia
Diagnosis
Treatment
Expert consensus
