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不孕不育与支原体、衣原体感染和抗精子抗体的关系 被引量:22
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作者 马丽娜 李凤云 冯锡才 《实用全科医学》 2008年第5期463-464,共2页
目的探讨不孕不育与支原体、衣原体感染和抗精子抗体(ASA)之间的关系。方法采用培养法分别对215例不孕妇女(观察组)和141例不育男性患者(观察组)进行解脲支原体(UU)和衣原体(CT)检测;采用ELISA法检测血清抗精子抗体(ASA)。同时分别选择6... 目的探讨不孕不育与支原体、衣原体感染和抗精子抗体(ASA)之间的关系。方法采用培养法分别对215例不孕妇女(观察组)和141例不育男性患者(观察组)进行解脲支原体(UU)和衣原体(CT)检测;采用ELISA法检测血清抗精子抗体(ASA)。同时分别选择61例正常妇女和45例正常男性作为对照。结果不孕症及不育症观察组UU、CT、ASA阳性检出率均明显高于对照组(P<0.05)。不孕及不育组中ASA阳性患者UU、CT感染率较阴性患者高,差异有统计学意义(P<0.05)。结论女性不孕和男性不育均与UU、CT感染及ASA有关,ASA的产生与UU、CT感染有关。 展开更多
关键词 不孕不育 解脲支原体 衣原体 抗精子抗体
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抗精子抗体介导不育的再认识 被引量:14
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作者 朱伟杰 《生殖与避孕》 CAS CSCD 北大核心 2017年第1期5-9,共5页
男、女性体内抗精子抗体(ASA)可以降低生育力,导致不育。但ASA介导免疫不育的关系非常复杂,目前认识仍有限。本文基于笔者30多年ASA的检测实践及以往文献审读,围绕ASA检测、ASA对睾丸精子发生、精索静脉曲张、流产的影响,以及宫腔内人... 男、女性体内抗精子抗体(ASA)可以降低生育力,导致不育。但ASA介导免疫不育的关系非常复杂,目前认识仍有限。本文基于笔者30多年ASA的检测实践及以往文献审读,围绕ASA检测、ASA对睾丸精子发生、精索静脉曲张、流产的影响,以及宫腔内人工授精(IUI)、体外受精(IVF)、卵胞质内精子注射(ICSI)治疗ASA不育患者的疗效进行了评价;并针对当前ASA的阳性率、抗体水平、一般治疗效果等问题提出看法,以期增进ASA与生殖效应相互关系的深入认识。 展开更多
关键词 精子 抗精子抗体 免疫 不育 生殖
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不孕不育与支原体感染和抗精子抗体的关系 被引量:11
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作者 赵晓岚 楚雍烈 +2 位作者 叶国玲 刘琪 蔡晓宁 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2003年第4期394-396,共3页
目的 探讨不孕不育与支原体感染和抗精子抗体 (ASA)之间的关系。方法 采用培养法分别对 2 4 8例不孕妇女(观察组 )和 16 7例不育男性患者 (观察组 )进行解脲支原体 (UU)和人型支原体 (MH)检测 ;采用ELISA法检测血清抗精子抗体ASA IgM... 目的 探讨不孕不育与支原体感染和抗精子抗体 (ASA)之间的关系。方法 采用培养法分别对 2 4 8例不孕妇女(观察组 )和 16 7例不育男性患者 (观察组 )进行解脲支原体 (UU)和人型支原体 (MH)检测 ;采用ELISA法检测血清抗精子抗体ASA IgM和ASA IgG。同时分别选择 6 9例正常妇女和 4 3例正常男性作为对照。结果 不孕症观察组及不育症观察组UU、MH阳性检出率均明显高于对照组 (P <0 .0 5 )。不孕和不育观察组ASA阳性检出率 (2 8.6 3% ,2 0 .96 % )均显著高于对照组 (7.2 1% ,6 .98% ,P <0 .0 5 )。支原体感染阳性组ASA阳性率明显高于支原体感染阴性组(P <0 .0 2 5 )。结论 女性不孕和男性不育均与支原体感染及免疫因素有关 。 展开更多
关键词 不孕 不育 支原体感染 抗精子抗体 解脲支原体 人型支原体 检测 血清
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Circulating Antisperm Antibody (ASA) in Women is not Associated with Missed Abortions at the First-trimester Pregnancy 被引量:7
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作者 Yu-xia WANG Wei-jie ZHU 《Journal of Reproduction and Contraception》 CAS 2011年第3期139-143,共5页
Objective To determine the role of the circulating antisperm antibody (ASA) in the pathogenesis of missed abortion at the first-trimester pregnancy. Methods Sixty-two patients with a history of missed abortion at th... Objective To determine the role of the circulating antisperm antibody (ASA) in the pathogenesis of missed abortion at the first-trimester pregnancy. Methods Sixty-two patients with a history of missed abortion at the first-trimester pregnancy were enrolled into this study. Indirect immunobead test (IBT) was used to measure the circulating ASA levels. Fifty healthy women with the first-trimester pregnancy set as the control. Results No case had the positive level of ASA according to the World Health Organization criteria (50% or more of the motile sperm with immunobead binding). Only 1 case in patient group and 1 case in the control had 10%-20% of the motile spermatozoa with ASA-IgG bead binding. In both patient and control groups, ASA-IgA was found to be completely negative binding. Conclusion The circulating ASA is not associated with the pathogenesis of missed abortions at the first-trimester pregnancy. 展开更多
关键词 antisperm antibody asa missed abortion SPERM WOMAN
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Evaluation of Circulating Antisperm Antibody in Infertile Women with Polycystic Ovary Syndrome 被引量:5
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作者 Xiao-yi YANG Wei-jie ZHU Jing LI 《Journal of Reproduction and Contraception》 CAS 2012年第1期25-28,共4页
Objective To evaluate levels of the circulating antisperm antibody (ASA) in infertile women with polycystic ovary syndrome (PCOS).Methods Forty-six infertile women with PCOS were enrolled into this study. The seru... Objective To evaluate levels of the circulating antisperm antibody (ASA) in infertile women with polycystic ovary syndrome (PCOS).Methods Forty-six infertile women with PCOS were enrolled into this study. The serum was screened by the indirect immunobead test for ASA type IgG and IgA according to the WHO laboratory manual.Results Of the 46 patients assessed for ASA-IgG, 3 cases had immunobead binding which were 20%, 27% and 35%, respectively, and the sub-positive rate was 6.5%. No case had the clinical positive level according to the WHO criteria (50% or more of the motile sperm with immunobead binding). ASA-IgA was not detected in all cases. Conclusion The circulating ASA is not associated with the pathogenesis of infertile women with PCOS. 展开更多
关键词 antisperm antibody asa polycystic ovary syndrome (PCOS) WOMAN
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Circulating Antisperm Antibody is not Related to the Pathogenesis of Infertility in Women with Endometriosis 被引量:4
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作者 Huan JIANG Wei-jie ZHU 《Journal of Reproduction and Contraception》 CAS 2012年第2期75-80,共6页
Objective To investigate the role of circulating antisperm antibody (ASA) in the pathogenesis of endometriosis-associated infertility. Methods Serum samples were collected from 75 infertile women with minimal or mil... Objective To investigate the role of circulating antisperm antibody (ASA) in the pathogenesis of endometriosis-associated infertility. Methods Serum samples were collected from 75 infertile women with minimal or mild endometriosis. Indirect immunobead test reporting on the percentage of motile sperm with adherent immunobeads was used to detect the circulating ASA levels. Results No infertile cases enrolled in the present study developed significant ASA level in the serum samples. That is to say, no one could achieve the diagnosis of ASAmediated infertility according to the World Health Organization criteria (50% or more of the motile sperm with immunobead binding). There were only 5 cases (6.7%) who had 20%-40% of the motile sperm that were found to have adherent particles of ASA- IgG. All the cases were found to be completely absent of ASA-IgA. Conclusion Endometriosis seems to have little impact on the production of circulating ASA. Clearly, ASA is not the key factor implicated in the pathogenesis of endometriosis-associated infertility. The presence of a low titer of ASA in a small proportion of the infertile women with endometriosis may exist by chance and, at least in part, explain the impaired fecundity in those patients. 展开更多
关键词 ENDOMETRIOSIS antisperm antibody asa INFERTILITY serum
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Evaluation on Antisperm Antibody in Infertile Men with Oligoasthenoteratozoospermia 被引量:2
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作者 Yi-chao XU Jing LI +1 位作者 Wei-bao LIANG Wei-jie ZHU 《Journal of Reproduction and Contraception》 CAS 2014年第1期49-53,共5页
To evaluate the level of antisperm antibody (ASA) in infertile men with oligoasthenoteratozoospermia (OAT). Methods Forty-six infertile men with OAT were enrolled into this study. Sperm samples were screened by th... To evaluate the level of antisperm antibody (ASA) in infertile men with oligoasthenoteratozoospermia (OAT). Methods Forty-six infertile men with OAT were enrolled into this study. Sperm samples were screened by the direct immunobead test for ASA type IgG and lgA according to the WHO laboratory manual. Results Of the 46 patients with OAT assessed for ASA-IgG, 2 had immunobead binding which were 22% and 27%, respectively, and the sub-positive rate was 4.3%. No case had the clinical positive level according to the WHO criteria ( ≥ 50% of the motile sperm with immunobead binding). ASA-IgA was not detected in all cases. Conclusion A significant incidence or high level of ASA could not be found in infertile men with OAT, which suggests that ASA is not associated with the pathogenesis of infertile men with OAT. 展开更多
关键词 antisperm antibody asa SPERM oligoasthenoteratozoospermia (OAT) INFERTILITY
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Evaluation of Circulating ASA in Women with Secondary Infertility 被引量:1
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作者 Yu-xia WANG Wei-jie ZHU Xin REN 《Journal of Reproduction and Contraception》 CAS 2011年第4期195-200,共6页
Objective To evaluate levels of the circulating antisperm antibody (ASA) in women with secondary infertility. Methods Eighty-three women defined as secondary infertility were enrolled into this study. Based on their... Objective To evaluate levels of the circulating antisperm antibody (ASA) in women with secondary infertility. Methods Eighty-three women defined as secondary infertility were enrolled into this study. Based on their outcomes of previous pregnancy, these women were divided into two groups: group HC (having at least one child, n=45), group NC (no child but one to three abortions, n=35). The serum was screened by the indirect immunobead test for ASA type IgG and IgA according to the WHO laboratory manual. Results Of the 83 patients assessed for ASA-IgG, 14 had immunobead binding rate ranged from 15% to 43%, and the sub-positive rate was 16.9%. Five cases showed ASA-IgA sub-positive, and had binding rate between 10% and 20%. No case had the clinical positive level according to the WHO criteria. No differences were found on ASA-IgG and ASA-IgA between HC and NC groups (P〉0.05). Conclusion The circulating ASA may be a possible cause to decrease fertility in women with secondary infertility. 展开更多
关键词 antisperm antibody asa secondary infertility WOMAN
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Hemospermia is not associated with the production of antisperm antibody 被引量:1
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作者 Yue-juan ZHANG Rui HUANG +2 位作者 Dong CHEN Bao-guo XIE Wei-jie ZHU 《Journal of Reproduction and Contraception》 CSCD 2015年第4期223-228,共6页
Objective To investigate whether hemospermia is involved in the production of antisperm antibodies (ASA). Methods A total of 40 males with hemospermia were enrolled in this study. These males were divided into 3 gro... Objective To investigate whether hemospermia is involved in the production of antisperm antibodies (ASA). Methods A total of 40 males with hemospermia were enrolled in this study. These males were divided into 3 groups according to their fertile status: 18 cases were patients who visited the infertility clinic (group A), 8 had fertility (group B), and 14 did not know their fertile status (group C). Semen samples were collected and ASA levels were detected by the direct immunobead test (D-IBT). Leukocytes in semen were assessed by the peroxi- dase assay. Results None of these males with hemospermia were found to display significant levels of ASA in the 3 groups. The number of cases who had increased levels of leukocytes in the semen samples of groups A, B and C were 15 (83.3%), 6 (75.0%) and 12 (85.7%), respectively. Conclusion Hemospermia is not associated with the production of ASA. It is worth noting that the leukocyte levels are increased in semen of males with hemospermia. 展开更多
关键词 HEMOSPERMIA antisperm antibody asa INFERTILITY LEUKOCYTE
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Evaluation on Antisperm Antibody in Infertile Women with Chronic Salpingitis 被引量:1
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作者 Qi-zhi LIU Wei-jie ZHU +1 位作者 Hai-peng LIU Huan JIANG 《Journal of Reproduction and Contraception》 CAS 2014年第3期159-163,共5页
Objective To evaluate the level of antisperm antibody (ASA) in infertile women with chronic salpingtis. Methods Forty-eight infertile women with chronic salpingtis were enrolled into this study. Serum samples were s... Objective To evaluate the level of antisperm antibody (ASA) in infertile women with chronic salpingtis. Methods Forty-eight infertile women with chronic salpingtis were enrolled into this study. Serum samples were screened by the direct immunobead test for ASA type IgG and IgA according to the WHO laboratory manual. About 50% or more of the motile sperm attaching to one or more immunobeads were regarded as clinical positivity according to the WHO criteria. About 20% 50% motile sperm that had adherent particles were deemed to be sub-positive. Results Of the 48 patients with chronic salpingtis assessed for ASA-IgG, 4 had immunobead bindings ranged from 50% to 60%, and the positive rate was 8.3%. In addition, 5 cases had 20%-40% of immunobead bindings, and the sub-positive rate was 10.4%. For ASA-IgA detecting, 2 cases with ASA-IgG positivity also had ASA-IgA immunobead bindings, and the positive rates were 22%, and 28%, respectively. Conclusion The incidence of ASA could be found in infertile women with chronic salpingtis, which suggests that an increased risk for the production of ASA would exist in the inflammatory status o f fallopian tube. 展开更多
关键词 antisperm antibody asa salpingtis INFERTILITY
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不孕与支原体、衣原体感染和抗精子抗体的关系 被引量:3
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作者 曾丽英 罗旋 +2 位作者 景蔚 赵可伟 韩国碧 《分子诊断与治疗杂志》 2012年第5期336-338,共3页
目的探讨女性支原体、衣原体感染和抗精子抗体阳性与不孕的关系,以指导临床治疗及提高不孕患者的治愈率。方法选择于我院2011年2月~2012年2月就诊的不孕女性患者365例(观察组)进行支原体(UU、MH)、衣原体(CT)与血清抗精子抗体(AS... 目的探讨女性支原体、衣原体感染和抗精子抗体阳性与不孕的关系,以指导临床治疗及提高不孕患者的治愈率。方法选择于我院2011年2月~2012年2月就诊的不孕女性患者365例(观察组)进行支原体(UU、MH)、衣原体(CT)与血清抗精子抗体(ASA)检测,同时选择66例正常妇女(对照组)作对照。结果不孕症观察组支原体、衣原体、抗精子抗体阳性检出率均明显高于对照组(P〈0.05)。不孕组中血清抗精子抗体阳性者支原体、衣原体感染较阴性者高,其差异有统计学意义(P〈0.05)。结论生殖道支原体、衣原体感染及血清抗精子抗体阳性是导致不孕的重要原因,抗精子抗体的产生与支原体、衣原体感染有关。 展开更多
关键词 不孕 解脲支原体 人型支原体 衣原体 抗精子抗体
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人类抗精子抗体对精子功能的影响——1.人类抗精子抗体对精子穿越宫颈粘液的影响 被引量:4
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作者 李世勤 文任乾 +5 位作者 王庆辉 李庆琨 王春湘 王丁 郭景元 朱小曼 《男性学杂志》 CSCD 1995年第3期166-168,共3页
为探讨抗精子抗体对精子穿越宫颈粘液能力的影响,本文用15份含高滴度抗精子抗体的血清配成不同稀释度的血清标本,用间接精子免疫珠结合试验测定各血清标本的抗体滴度,并用精子宫颈粘液穿透试验检测不同滴度抗精子抗体对精子穿越宫颈粘... 为探讨抗精子抗体对精子穿越宫颈粘液能力的影响,本文用15份含高滴度抗精子抗体的血清配成不同稀释度的血清标本,用间接精子免疫珠结合试验测定各血清标本的抗体滴度,并用精子宫颈粘液穿透试验检测不同滴度抗精子抗体对精子穿越宫颈粘液能力的影响。结果显示:(1)IgA和IgG类抗精子抗体对精子穿越宫颈粘液的能力均有明显影响(P<0.01),且IgA类较IgG类作用大。(2)头部及全身结合有抗体的精子受损较明显,而仅尾部结合有抗体的精子则无明显受损。(3)当结合抗体的活动精子≥60%或头及全身结合抗体的活动精子≥30%时这种影响变得十分确切。 展开更多
关键词 抗精子抗体 精子 宫颈粘液 穿透试验
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不育男子血清中抗精抗体与抗精浆抗体的相关性研究 被引量:2
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作者 王旻晨 邵君飞 +1 位作者 蔡杰 邢卫星 《中国航天医药杂志》 2002年第2期4-5,共2页
目的研究不育男子血清中抗精抗体与抗精浆抗体的相关性。方法以ELISA间接法检测50例不育男子血清抗精抗体和抗精浆抗体。结果不育男子血清中抗精抗体和抗精浆抗体阳性率分别为36%、38%,两者均为阳性为16例,均为阴性为29例;抗精抗体阳性... 目的研究不育男子血清中抗精抗体与抗精浆抗体的相关性。方法以ELISA间接法检测50例不育男子血清抗精抗体和抗精浆抗体。结果不育男子血清中抗精抗体和抗精浆抗体阳性率分别为36%、38%,两者均为阳性为16例,均为阴性为29例;抗精抗体阳性、抗精浆抗体阴性为2例;抗精抗体阴性、抗精浆抗体阳性为3例。结论两者阳性检出率间无显著性差异(P>0.05),但有相关关系(P<0.01,相关系数γ=0.79)。 展开更多
关键词 抗精子抗体 抗精浆抗体 ELISA间接法 男性不育
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反复流产和不孕症与支原体和免疫因素的关系 被引量:18
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作者 赵晓岚 楚雍烈 +2 位作者 叶国玲 蔡晓宁 刘琪 《第四军医大学学报》 CAS 北大核心 2003年第20期1884-1886,共3页
目的 :探讨反复自发性流产 (RSA)与支原体感染和抗心磷脂抗体 (ACA)之间的关系及不孕症与支原体感染和抗精子抗体 (ASA)之间的关系 .方法 :采用培养法分别对 338例RSA患者 (观察组 )和 2 4 8例不孕症患者 (观察组 )进行解脲支原体 (UU)... 目的 :探讨反复自发性流产 (RSA)与支原体感染和抗心磷脂抗体 (ACA)之间的关系及不孕症与支原体感染和抗精子抗体 (ASA)之间的关系 .方法 :采用培养法分别对 338例RSA患者 (观察组 )和 2 4 8例不孕症患者 (观察组 )进行解脲支原体 (UU)和人型支原体 (MH)检测 ;采用ELISA法分别检测血清ACA IgM和ACA IgG(RSA观察组 )以及ASA IgM和ASA IgG(不孕症观察组 ) .同时分别选择 1 0 5例正常妇女作为对照组 .比较观察组和对照组各项指标阳性检出率 .结果 :RSA患者和不孕症患者支原体感染阳性率均高于对照组(P <0 .0 5 ) ;RSA患者血清ACA IgM阳性检出率明显高于对照组 (P <0 .0 5 ) ;不孕症观察组ASA IgM阳性检出率均显著高于对照组 (P <0 .0 5 ) ;RSA患者中 ,支原体感染阳性组ACA IgM ,ACA IgG以及ACA IgM +ACA IgG阳性率均明显高于支原体感染阴性组 (P <0 .0 5 ) ;不孕症患者中 ,支原体感染阳性组ASA IgM和ASA IgGA阳性率均明显高于支原体感染阴性组 (P <0 .0 5 ) .结论 :支原体感染是RSA和不孕症的原因之一 ;自身免疫性抗体与RSA和不孕症有一定关系 ; 展开更多
关键词 流产 自发性 不孕 女(雌)性 尿素支原体 尿素分解:支原体人型 抗体 抗心脂 抗精子抗体
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