基多市不育症患者精液质量的特点。

William Guamán-Gualpa, José Arias-Bustamante, Diego Villacís-Vaca, Carlos Vásquez-Maya, Daniela Cuesta-Garzón, Maiella Luna-Prieto
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摘要

简介男性不育的病因复杂,精液质量是决定因素之一。对这一因素的评估是通过精子图进行的,精子图分析了精液的两个组成部分:精子的数量、活动能力和形态,以及负责滋养精子并与女性生殖道相互作用的附属腺体分泌的精液。研究目的确定精液的特征、最常见的变化以及年龄对基多市辅助生殖中心不育症患者精液质量的影响。 材料与方法:对 "基多不孕症研究所 "的 55 名不孕症患者的精子图进行了观察性、描述性和横断面研究。研究结果47.27%的精子图显示为正常精子症。在改变的精子中,25.45%为无精子症,23.63%为畸形精子症。精子质量参数值和精子数量的变化呈现出与年龄相关的趋势;我们发现,精子数量发生变化的患者中,40 岁以上的人最多。讨论在我们的研究中,我们发现至少有一项精液改变的患者比例很高,尤其是年龄较大的患者,这表明在评估不育夫妇时考虑男性年龄的重要性。
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Characteristics of the seminal quality of infertile patients in the City of Quito.
Introduction: Male infertility has a complex etiology and one of the determining factors is the quality of the semen. The evaluation of this factor is carried out using a spermogram; where the two components of semen are analyzed: the sperm; in number, mobility and morphology, as well as the seminal fluid produced by the accessory glands in charge of nourishing the sperm and interacting with the female genital tract. Objective: To determine the characteristics of the semen, the most frequent alterations and the age effect on the seminal quality of patients who come to an infertility consultation in an assisted reproduction center in the city of Quito.   Material and Methods: An observational, descriptive, cross-sectional study of 55 spermograms from patients with infertility problems from the “Instituto Quiteño de Infertilidad” was carried out. Results: 47.27% of the spermogram presented normozoospermia. Within the alterations, asthenozoospermia was 25.45% and teratozoospermia was 23.63%. The values ​​of the sperm quality parameters and the number of alterations showed an age-related trend; we found that the highest number of affected patients with alterations in the number of sperm corresponds to those over 40 years. Discussion: In our study, we have evidenced a high percentage of patients with at least one seminal alteration, especially in older patients, which indicates the importance of considering the age of males when evaluating infertile couples.
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