现代泌尿生殖肿瘤杂志2024,Vol.16Issue(2) :100-103,108.DOI:10.3870/j.issn.1674-4624.2024.02.008

男性不育患者人乳头瘤病毒感染与精液质量的相关性研究

Study on the relationship between human papillomavirus infection and semen quality in male infertile patients

田黎黎 曾树林 龚洁 陈永刚 潘利萍 叶臻 陈瑾
现代泌尿生殖肿瘤杂志2024,Vol.16Issue(2) :100-103,108.DOI:10.3870/j.issn.1674-4624.2024.02.008

男性不育患者人乳头瘤病毒感染与精液质量的相关性研究

Study on the relationship between human papillomavirus infection and semen quality in male infertile patients

田黎黎 1曾树林 2龚洁 3陈永刚 3潘利萍 3叶臻 4陈瑾5
扫码查看

作者信息

  • 1. 430061,武汉,武汉市武昌医院;武汉市临床检验中心
  • 2. 430061,武汉,武汉市武昌医院
  • 3. 武汉市临床检验中心
  • 4. 武汉华科生殖专科医院
  • 5. 华中科技大学同济医学院生殖健康研究所
  • 折叠

摘要

目的 探讨人乳头瘤病毒(HPV)精液感染对不育男性精液常规参数、精浆生化及精子DNA损伤的影响.方法 收集115例2023年5月至2023年12月就诊于武汉华科生殖专科医院男科门诊患者精液样本,采用荧光PCR法进行HPV基因分型检测以评估精液感染率,所有样本完成精液常规分析、精浆生化、精子DNA碎片指数(DFI)及DNA精子高着色性检测分析,比较感染组与未感染组精液质量各参数之间的差异.结果 115例男科门诊患者精液样本中HPV检出11例,阳性率占9.57%;与HPV阴性组相比,HPV阳性组在精子总活力、前向运动精子百分率、精液白细胞浓度、精浆锌总量、精浆弹性蛋白酶浓度参数上有所降低,在精子DFI值上有所升高,且差异有统计学意义(P<0.05).结论 男性HPV精液感染会对精子运动能力、精液感染指标及精子DNA完整性产生影响,对男性专科门诊患者诊疗上应考虑HPV感染因素,同时对高危人群必要时进行HPV基因分型检测.

Abstract

Objective To explore the effects of HPV semen infection on semen routine param-eters,seminal plasma biochemistry and sperm DNA damage in infertile men.Methods Semen samples were collected 115 patients who were admitted to Wuhan Huake Hospital of Reproductive from May 2023 to December 2023.HPV genotyping was performed by fluorescent PCR method to e-valuate semen infection rate.Semen routine analysis,semen plasma biochemistry,sperm DNA frag-ment index(DFI)and sperm high DNA stainability were performed.The differences of semen quali-ty parameters between infected group and uninfected group were compared.Results Among the 115 semen samples,HPV was detected in 11 cases,with a positive rate of 9.57%.Compared with the HPV negative group,total sperm motility,percentage of forward motile sperm,semen leuko-cyte concentration,total seminal plasma zinc and seminal plasma elastase concentration significantly decreased in the HPV positive group,and sperm DFI increased.Conclusions HPV semen infec-tion may affect sperm motility,semen infection index and sperm DNA integrity.The infection fac-tors should be considered in the diagnosis and treatment of male infertility patients,and HPV geno-typing should be performed in high-risk groups if necessary.

关键词

男性不育/人乳头瘤病毒/精液常规参数/精浆生化

Key words

Male infertility/Human papillomavirus/Semen routine parameters/Semi-nal plasma biochemistry

引用本文复制引用

基金项目

武汉市卫生健康委科研项目(WX21D61)

出版年

2024
现代泌尿生殖肿瘤杂志
华中科技大学

现代泌尿生殖肿瘤杂志

CSTPCD
影响因子:0.403
ISSN:1674-4624
参考文献量20
段落导航相关论文