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인간 정자의 생식력 평가에 있어 첨제반응율과 햄스터 난자 침투 분석법의 비교연구
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  • 인간 정자의 생식력 평가에 있어 첨제반응율과 햄스터 난자 침투 분석법의 비교연구
  • Comparison between Sperm Acrosome Reaction following Ionophore Challenge and Sperm Penetration Assay as Assessment of fertilizing Capacity of Human Spermatozoa
저자명
문신용,류범용,오선경,서창석,김석현,최영민,신창재,김정구,장윤석,이진용,Moon. Shin-Yong,Ryu. Buom-Yong,Oh. Sun-Kyung,Suh. Chang-Suk,Kim. Seok-Hyun,Choi. Young-M
간행물명
大韓不妊學會雜誌
권/호정보
1995년|22권 2호|pp.131-141 (11 pages)
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대한생식의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

This study was designed to determine the relationship between sperm acrosome reaction following ionophore challenge(ARIC) and hamster ovum sperm penetration assay(SPA) as assessment of fertilizing capacity of male. ARIC test and SPA were performed in 23 fertile and 19 subfertile men. The results were as follows; Sperm concentration was significantly higher in fertile group compared with subfertile group: $114.6{pm}64.40$ vs $61.3{pm}46.50{ imes}10^6/ml$. However, there were no significantly differences in seminal volume, motility and motility index, respectively. There was a significantly correlation between spontaneous and induced AR in fertile and subfertile group, respectively. ARIC value was significantly higher in fertile group, compared with subfertile group: $12.0{pm}5.57%$ vs $2.6{pm}4.96%$. Both Penetration rate(PR) and Penetration index(PI) were significantly higher in fertile group, compared with subfertile group: $97.4{pm}7.40%$ vs $64.9{pm}36$. 20% and $5.4{pm}2.88$ vs $1.5{pm}1.47$, respectively. The Positive predictive value(PPV), Negative predictive value(NPV), sensitivity and specificity of ARIC test (cut-off: 8.5) and SPA(PI cut-off : 3.0) in predicting fertility were 95.0%, 81.8%, 82.6%, 94.7% and 95.2%, 85.7%, 87.0% and 94.7%, respectively. There was no significantly difference in predicting fertility between ARIC test and SPA. In conclusion, ARIC test was shown to have a predictive value for fertilizing capacity comparable to that of the hamster ovum sperm penetration assay. Therefore, ARIC test may be a simple and cost-effective addition to existing semenology instead of SPA.