稀少精子,冷冻保存,冷冻载体,复苏率," /> 稀少精子,冷冻保存,冷冻载体,复苏率,"/> Small numbers of sperm,Cryopreservation,Cryopreservation carrier,Recovery rate,"/> <span style="line-height:2;font-size:14px;">改良快速冷冻载体冻融人类稀少精子的</span><span style="line-height:2;font-size:14px;">实验研究</span>
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发育医学电子杂志  2020, Vol. 8 Issue (2): 122-128    DOI: 10.3969/j.issn.2095-5340.2020.02.006
  生殖胚胎   论著 |
改良快速冷冻载体冻融人类稀少精子的实验研究
陈国勇 李文
1. 海军军医大学附属长征医院 生殖医学中心,上海 200003;2. 联勤保障部队第九〇〇医院 生殖医学中心,福建 福州 350025
Investigation of experiment in improving of rapid cryopreservation carrier on scarce human spermatozoa
Chen Guoyong  LiWen
1.Reproductive Medicine Center , Changzheng Hospital, Naval Medical University of the PLA, Shanghai 200003, China; 2. Reproductive Medicine Center, 900 Hospital of the Joint Logistics Team , Fujian Fuzhou, 350025,China
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摘要 【摘要】 目的  探讨人类稀少精子冷冻改良快速冷冻载体的实验研究,为重度少弱精子症患者的精子冷冻保存提供参考。 方法 2018 年12 月至2019 年8 月,在联勤保障部队第九〇〇医院生殖中心就诊的男性不育症患者:根据精液质量分为正常精液组和少弱精液组,每个实验样本选取3 份精液分别进行充分混合,将混合精液稀释至浓度为(1 ~ 2)×106/ml,实验共计选取81 份正常精液标本混匀稀释形成27 个正常精液样本,选取54 份少弱精液标本混匀稀释形成18 个少弱精子样本。根据不同的冷冻载
体各分3 组进行精子冷冻:薄片精子冷冻管组(A 组),麦管微量体积冷冻组(B 组),改良快速冷冻载体组(C组),均采用商品化精子冷冻试剂1 ∶ 1 混匀,熏蒸法后快速冷冻。比较3种载体冷冻复苏后,精子的活动力、存活率、DNA 碎片指数和正常形态变化、精子顶体酶活性等指标变化,以评估改良快速冷冻载体的冷冻效率及安全性。统计学方法采用 t检验、 ANOVA 分析、LSD 多重比较。 结果  正常精液组的3 种冷冻方法都会造成精子质量下降。正常精液组的C 组的复苏后精子活动力、存活率均高于A 组和B 组,差异有统计学意义(P<0.05)。正常精液组:C 组复苏精子DNA 碎片指数略低于A 和B 组,但差异无统计学意义(P>0.05);A、B、C 3组复苏后精子正常形态率均低于冷冻前,差异有统计学意义(P<0.05)。少弱精液组:A、B 两组复苏后精子DNA 碎片指数均高于冷冻前,差异有统计学意义(P<0.01);C 组精子DNA 碎片指数高于冷冻前,但差异无统计学意义(P=0.068), C 组复苏精子DNA 碎片指数略低于A和B 组,但差异无统计学意义(P>0.05),A、B、C 3组冷冻精子复苏后正常形态率均低于冷冻前,差异无统计学意义( P>0.05)。正常精液组:冷冻前精子顶体酶活性为(123.6±12.8)IU/106 个精子,复苏后A、B、C 3组顶体酶活性均有下降,分别为(74.7±15.6)、(84.7±13.5)、(91.2±16.2) IU/106 个精子,差异有统计
学意义(F=37.896,P<0.001),从对于精子顶体影响看,B、C 组优于A 组,差异有统计学意义(P=0.043、P=0.001)。 结论 改良快速冷冻载体对于稀少精子冷冻保存有一定优势,值得进一步探讨研究。
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陈国勇 李文
关键词:  稀少精子')" href="#">稀少精子  冷冻保存  冷冻载体  复苏率    
Abstract: 【Abstract】 Objective To explore the investigation of experiment in improving of rapid cryopreservation
carrier on scarce human spermatozoa, and provide reference for cryopreservation of sperm in patients withsevere oligo-asthenozoospermia. Methods From December 2018 to August 2019, male infertility treated in center of Reproductive Medicine, 900 Hospital of the Joint Logistics Team were divided into the normal sperm group and oligo-asthenospermic group through their semen quality. Three samples of sperm were selectedfrom each experimental sample and were mixed and diluted toconcentration (1-2)×106/ml, 27 mixed cases were selected from 81 samples of normal semen, 18 mixed cases were selected from 54 oligoasthenic sperm samples. According to different frozen carrier spermatozoon were frozen in 3 groups: thin slice sperm tube (group A), wheat tube micro-volume freezing group (group B), modified rapid freezing carrier group(group
C). All of them used commercialized sperm freezing reagent 1 ∶ 1 to mix, rapid cryopreservation afterfumigation. Survival rate, DNA fragmentation index, acrosome enzyme activity and normal morphology rate after cryopreservation of three scarce sperm cryopreservation carrier were compared to evaluate the freezing efficiency and safety of rapid cryopreservation carrier. Statistical methods were carried out by t-test, anova analysis and LSD multiple comparison. Results Sperm quality was decreased in normal sperm group, three cryopreservation methods were used. Group C were higher than that in group A and group B in the survival rate of resuscitation sperm motility for the normal sperm group with statistical significance (P<0.05). Group
C was slightly lower than that in group A and group B in DNA fragment index of resuscitated sperm for the normal sperm group with no statistical significance (P>0.05). Normal morphologic rate after cryopreservation in the group A, B and C was lower than that before cryopreserved with statistical significance (P<0.05). Oligo-asthenospermic group: DNA fragment index of resuscitated sperm in both groups A and B was higher than that before cryopreservation with statistical significance (P<0.01). DNA fragment index of resuscitated sperm in group C was higher than that before cryopreservation but with no statistical significance (P=0.068). DNA fragment index of resuscitated sperm in group C was slightly lower than that in group A and group B
with no statistical significance (P>0.01). The normal morphology rate of frozen sperm in group A, B and C was lower than that before freezing with no statistical significance (P>0.05). Normal sperm group: the acrosomal enzyme activity of sperm was (123.6±12.8) IU/106 sperm before freezing, and decreased in group A (74.7±15.6), B (84.7±13.5) and C (91.2±16.2) IU/106 after resuscitation with statistical significance (F=37.896,P<0.001). Group B and C were superior to group A in acrosomal influence of sperm withstatistical significance(P=0.043, P=0.001). Conclusion The improved rapid cryopreservation carrier has
certain advantages for scarce human spermatozoa, which is worthy of further study.
Key words:  Small numbers of sperm')" href="#">Small numbers of sperm    Cryopreservation    Cryopreservation carrier    Recovery rate
收稿日期:  2019-07-08                出版日期:  2020-04-30      发布日期:  2020-04-22      期的出版日期:  2020-04-30
 
基金资助: 军事医学创新工程(16JS007);长征医院特色行动计划(2017T);长征医院研究型医师培育项目
(2017);宁夏回族自治区重点研发计划(2019BFG02007)
通讯作者:  李文https://m.51daifu.com/hz/yisheng-232534.shtml    E-mail:  liwen@smmu.edu.cn
引用本文:    
陈国勇 李文. 改良快速冷冻载体冻融人类稀少精子的实验研究[J]. 发育医学电子杂志, 2020, 8(2): 122-128.
Chen Guoyong LiWen. Investigation of experiment in improving of rapid cryopreservation carrier on scarce human spermatozoa. Journal of Developmental Medicine(Electronic Version), 2020, 8(2): 122-128.
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