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• 临床研究 • 上一篇    下一篇

精子形态学分析中染色方法的比较

高久春,王瑞雪,许宗革,郑海筝,刘 媛,刘睿智*   

  1. 吉林大学基础医学院细胞生物学教研室,吉林 长春130021
  • 收稿日期:2005-03-22 修回日期:1900-01-01 出版日期:2005-09-28 发布日期:2005-09-28
  • 通讯作者: 刘睿智

Comparison of staining methods in evaluation of sperm morphology

GAO Jiu-chun, WANG Rui-xue, XU Zong-ge,ZHENG Hai-zheng,LIU Yuan,LIU Rui-zhi*   

  1. Department of Cell Biology,School of Basic Medical Sciences, Jilin University, Changchun 130021,China
  • Received:2005-03-22 Revised:1900-01-01 Online:2005-09-28 Published:2005-09-28
  • Contact: LIU Rui-zhi

摘要: 目的:评价改良巴氏染色法、瑞-吉染色法和考马斯亮蓝染色法对形态正常精子率和顶体完整率检测结果影响。方法:分别采用改良巴氏染色法、瑞-吉染色法和考马斯亮蓝染色法对55例男性不育症患者精液涂片染色,计算形态正常精子率和顶体完整率。结果:①3种染色方法检测的形态正常精子率两两比较,差异均无显著性(P>0.05),瑞-吉染色法评价颈部和中段缺陷精子率及尾部缺陷精子率显著低于改良巴氏染色法和考马斯亮蓝染色法(P<0.05)。②3种染色方法检测的Ⅰ型、Ⅳ型顶体完整率两两比较,差异均无显著性 (P>0.05),改良巴氏染色法检测的Ⅱ型和Ⅲ型顶体完整率明显高于考马斯亮蓝染色法和瑞-吉染色法(P<0.05)。③3种染色方法检测的形态正常精子率间均呈显著正相关关系(r=0.535、P<0.01, r=0.601、P<0.01,r=0.329、P<0.05)。3种染色方法检测的顶体完整率间均呈显著正相关关系(r=0.604,P<0.01, r=0.682、P<0.01, r=0.446、P<0.01)。结论:3种染色方法均可作为检测人精子形态和顶体完整率实用方法,其中改良巴氏染色法更适于精子形态学分析,瑞-吉染色法更适于顶体完整率判读。

关键词: 顶体, 染色方法

Abstract: Objective To study the effects of Modified Papanicolaou stain,Wright-Giemisa stain and Coomassie brilliant blue stain on the rate of morphogically normal sperm and the rate of acrosome intactness. ethods Semen smears from 55 male infertility patients were stained according to Wright-Giemisa, Modified Papanicolaou and Coomassie brilliant blue methods. The rate of morphologically normal sperm and the rate of acrosome intactness were evaluated. Results ①No significant differences were found in the percentage of morphologically normal sperm between the three staining methods (P>0.05). Comparing with Modified Papanicolaou stain and Coomassie brilliant blue stain, the rate of Neck/Midpiece defect sperm ,as well as tail defect sperm , significantly decreased after Wright-Giemisa stain(P<0.05). ②No significant difference was observed in the rate of sperm with type I acrosome and the rate of sperm with type Ⅳ acrosome between the three staining methods (P>0.05). However, the rate of sperm with type Ⅱ or Ⅲ acrosme was higher using Modified Papanicolaou stain than using the other two stains(P<0.05). ③The significantly positive correlationship was found in the rate of normal morphologically sperm (r=0.535 P<0.01,r=0.601,P<0.01 , r=0.329,P<0.05), as well as in the rate of acrosome intactness (r=0.604, P<0.01,r=0.682,P<0.01, r=0.446,P<0.01),among the three staining methods. Conclusion The three staining methods stain would be reliable and applicable to detect the percentage of human morphologically normal sperm and the rate of acrosome intactness. Among the three staining methods, Modified Papanicolaou stain would be better to be used in examing the percentage of human morphologically normal sperm, and Wright-Giemisa stain would be more suitable for detecting the rate of acrosome intactness.

Key words: acrosome, staining method

中图分类号: 

  • R321.1