Cited 0 times in

214 0

불임부부 남편에 대한 정액검사

Other Titles
 Semen analysis in husbands of infertile couples 
Issue Date
1980
Description
의학과/석사
Abstract
[한글] 1978년 3월부터 1년간 세브란스병원 비뇨기과에 내원한 불임부부의 남편중 금욕기간이3일이상 이었던 78명의 환자에 대하여 정액검사를 실시하였다. 이중 무정자증이 28명(35.9%)이었으며 무정자증이 아닌 50명에 대하여 과거력, 이학적 소견, 정액의 용해정도, 정액량, 정액내 정자수, 정자의 운동성, 정자의 형태, 정액내 백혈구수등을 관찰하여 다음과 같은 결론을 얻었다. 1. 연령은 평균 31.8세로 31-35세가 가장 많았으며 평균 불임기간은 3.4년이었다. 2. 과거에 요도염, 전립선염, 부고환염등을 앓은 적이 있는 환자가 34%이었다. 3. 14%에서 정맥류가 있었다. 4. 평균 정액의 산도는 7.4이며 정액은 모두 30분내에 용해되었고 평균 용해시간은 13.9분이었다. 5. 평균 정액량은 3.4㎖이며 1㎖미만이 6%에서 있었다. 6. 정자수는 평균 60.5millon/㎖이며 20미만의 환자는 34%이었고 총정자수는 평균 205.8millionn/ejaculate이며 50미만이 26%이었다. 7. 다정자증은 2명(4%)이었다. 8. 평균 정자의 운동성은 53.7%이었다. 9. 운동성 정자수는 평균 31.1million/㎖이었고 총운동성 정자수는 평균 107.6million/ejaculate이었다. 10. 정상형태의 정자는 평균 68.1%이었다. 11. 정액내 백혈구수가 5/HPF이상인 환자의 평균 정자의 운동성은 42.o%로 그렇지 않은 환자의 60.3%보다 낮았다. 12. 수태지수로 보아 infertile 6%, subfertile 44%, relative fertile 30%, highly fertile 또는 subfertile하였다. 15. 정맥류가 있는 환자에서 그렇지 않은 환자보다 정자의 운동성등이 감소되어 어 있었다. SEMEN ANALYSIS IN HUSBANDS OF INFERTILE COUPLES Sang Yol Mah M.D. Department of Medical Science, The Graduate School Yonsei University (Directed by Professor Chong Soon Wang, M.D.) Since March 1978, 78 men, husbands of infertile couples who consulted our Severan ce Hospital Urologic department, were instructed to collect seminal fluid samples a fter at least 3 days of abstinence. Of these 78 patients 28(35.9%) demonstrated asp emia. The remaining 50 patients were evaluated with past history and physical exami nation. The semen was examined for liquefaction, volume, sperm count, sperm motilit y, morphology, and WBC count. The results were as follows: 1. The mean age was 31.8 years and mean period of infertility was 3.4 years. 2. 34% of the patients had sufferred from urethritis, prostatitis, or epididymiti s. 3. Varicoceles were found in 14% of the patients. 4. The mean pH of the specimens was 7.4, the mean time of liquefaction was 13.9 m inutes and in all of the patients did liquefaction occur within 30 minutes. 5. The volume of the ejaculate averaged 3.4 ml, ana in 6% of the patients the vol ume was below 1 ml. 6. The sperm concentration averaged 60.5 million/ml and 34% had concentrations le ss than 20 million. The total number of spermatozoa per ejaculate averaged 205.8% m illion and 26% had total sperm counts under 50 millon. 7. Polyspermy was found in 2 men (4%). 8. The mean percentage of active sperm was 53.7%. 9. The motile sperm count averaged 31.1 millon/ml and the total motile sperm per ejaculate averaged 107.6 millon. 10. The percentage of oval cells or normal sperm averaged 68.1%. 11. In patients with WBC mere than 5/HPF in semen, mean sperm motility (42.0%) wa s lower than that of the other group(60.3%). 12. According to the fertility index, infertile was 6%, subfertile 44% relative f ertile 30% and highly fertile 20%. 13. In patients with varicocele, mean of the sperm motility was lower than that o f patients without varicocele.
[영문] Since March 1978, 78 men, husbands of infertile couples who consulted our Severance Hospital Urologic department, were instructed to collect seminal fluid samples after at least 3 days of abstinence. Of these 78 patients 28(35.9%) demonstrated asp emia. The remaining 50 patients were evaluated with past history and physical examination. The semen was examined for liquefaction, volume, sperm count, sperm motility, morphology, and WBC count. The results were as follows: 1. The mean age was 31.8 years and mean period of infertility was 3.4 years. 2. 34% of the patients had sufferred from urethritis, prostatitis, or epididymitis. 3. Varicoceles were found in 14% of the patients. 4. The mean pH of the specimens was 7.4, the mean time of liquefaction was 13.9 minutes and in all of the patients did liquefaction occur within 30 minutes. 5. The volume of the ejaculate averaged 3.4 ml, ana in 6% of the patients the volume was below 1 ml. 6. The sperm concentration averaged 60.5 million/ml and 34% had concentrations less than 20 million. The total number of spermatozoa per ejaculate averaged 205.8% million and 26% had total sperm counts under 50 millon. 7. Polyspermy was found in 2 men (4%). 8. The mean percentage of active sperm was 53.7%. 9. The motile sperm count averaged 31.1 millon/ml and the total motile sperm perejaculate averaged 107.6 millon. 10. The percentage of oval cells or normal sperm averaged 68.1%. 11. In patients with WBC mere than 5/HPF in semen, mean sperm motility (42.0%) was lower than that of the other group(60.3%). 12. According to the fertility index, infertile was 6%, subfertile 44% relative fertile 30% and highly fertile 20%. 13. In patients with varicocele, mean of the sperm motility was lower than that of patients without varicocele.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/126815
Appears in Collections:
2. 학위논문 > 1. College of Medicine (의과대학) > 석사
사서에게 알리기
  feedback
Fulltext
교내이용자 서비스로 제공됩니다.
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse