精液白细胞数量、液化时间及精子活力的关系探讨

摘要

Objective To explore the relationship between semen leukocyte and liquefaction and sperm motility through the anal‐ysis of routine semen examination results .Methods Retrospectively analyze on 8 666 cases of routine semen examination .Accord‐ing to the leukocyte count the semen samples which had sperms were divided into three groups ,Group A :white blood cells≤1 × 106/mL ,Group B:(1-4)× 106/mL ,Group C :>4 × 106/mL .Then compare the liquefaction time and sperm motility of these three groups .Results Among the 8 666 cases of semen analysis ,there were 164 cases of azoospermia(accounting for 1 .9% ) and 8 502 fine cases(accounting for 98 .1% ) .There were 7 419 ,1 014 and 69 cases in Group A ,B ,C respectively .In the three groups ,there were 5 323 ,740 and 50 cases of normal sperm motility respectively ;there were 2 096 ,274 and 19 cases of the abnormal motility ca‐ses respectively .In the three groups ,the normal cases of semen liquefaction time were 4 593 ,608 and 43 respectively ;the abnormal were 2 826 ,406 and 26 cases respectively .Statistical analysis showed no significant correlation between semen leukocyte and lique‐faction(P=0 .712) ,and between semen leukocyte and sperm motility(P=0 .486) .There were 1 217 cases of normal sperm motility and 4 027 cases of abnormal sperm motility in normal liquefaction group;there were 1 172 cases of normal sperm motility and 2 086 cases of sperm motility in abnormal liquefied group .There was statistically significant difference between the two groups(P=0 .000<0 .05) .Conclusion There were no correlation between semen leukocyte count and liquefaction or sperm motility ,but sperm mo‐tility and liquefaction are correlated .%目的：通过对精液常规检查结果的分析，探讨白细胞数量与精液液化时间及精子活力的关系。方法回顾性分析8666例精液常规检验结果，将有精液标本按白细胞数量差别分为3组，A组：白细胞计数不高于1×106／m L ，B组：白细胞计数为（1～4）×106／m L ，C组：白细胞计数大于4×106／m L。比较3组精液液化时间和精子活力。结果8666例精液分析标本中，无精子标本164例（1．9％），有精子标本8502例（98．1％）。A、B、C 3组分别有7419例、1014例和69例。3组中活力正常分别有5323例、740例和50例；活力异常分别有2096例、274例和19例。3组中精液液化时间正常分别有4593例、608例和43例；液化时间异常分别有2826例、406例和26例。经统计学分析，白细胞数量与液化时间之间无相关性（ P＝0．712），白细胞数量与精子活力间无相关性（ P＝0．486）。液化正常组中精子活力正常和异常分别为1217例和4027例，液化异常组中精子活力正常和异常分别为1172例和2086例，差异有统计学意义（ P＝0．000＜0．05）。结论精液中白细胞数量与精液液化及精子活力无关，液化时间与精子活力有关。