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生殖道支原体感染与精索静脉曲张不育关系的探讨

Demonstration of genital ureaplasma urealyticum infection in varicocele-related infertility

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【作者】 李宏军郭应禄郝丽王彦

【Author】 Li Hongjun; Hao Li; Wang Yan et al(Institute of Urology, The First Hospital of Beijing Medical University, 100034)

【机构】 北京医科大学泌尿外科研究所!100034辽宁省计划生育科学研究院

【摘要】 为研究精索静脉曲张男性不育症中生殖道感染因素,对590例患精索静脉曲张(曲张组)和335例无精索静脉曲张(对照组)的男性不育患者进行了精液解脲支原体(UU)的培养研究。结果表明。UU总感染率为48.22%。曲张组中生殖道UU感染率高达55.76%,而对照组UU感染率为34.93%,两组间有高度显著性差异(P<0.005)。曲张组精子活力低下者明显增多,而精液分析正常者明显减少。认为精索静脉曲张的存在可能使生殖道易被UU感染且不易治愈,并对精子活力具有明显影响。因此,早期治疗精索静脉曲张,消除生殖道UU感染可以防止生育能力减低和不育症的产生。

【Abstract】 To assess the existence of a possible infections factor in varicocele-associated infertility,we searched for ureaplasma urealyticum infection in 925 seminal plasmas (from 590 infertile men with varicocele and 335 infertile patients without palpable varicocele ). Our results showed that the infection rate of ureaplasma urealyticum in seminal plasmas reached 48.22%. The asymptomatic genital infection of ureaplasma urealyticum was traced in 329 (55. 76% ) varicocele men and in 117 (34. 93% ) infertile patients without varicocele (control group ). A significant quantitative difference in the incidence of genital ureaplasma urealyticum infection between varicocele and control group was observed (P<0. 005 ) and asthenozoospermia was significantly more prevalent in patients with varicocele than that in the other patients. The authors advanced that genital ureaplasma urealyticum infection may play a role in varicocele-related infertility. In order to prevent future infertility. men with both varicocele and genital ureaplasma urealyticum infection-may benefit from early evaluation and treatment.

  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinaical Urology , 编辑部邮箱 ,1997年03期
  • 【分类号】R697.24
  • 【被引频次】12
  • 【下载频次】64
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