生殖医学杂志2023年2月第32卷第2期·157··中华医学会生殖医学分会专家共识·D0I:10.3969/1issn1004-38452023.02001弱精子症病因及临床诊疗专家共识潘伯臣，孙莹璞，孙海翔，邓成艳，刘平，周灿权，冯云，郝桂教，卢文红，全松，沈浣，师娟子，滕晓明，王晓红，王秀霞，伍琼芳，曾勇，张松英，钟影，黄学锋*，黄国宁*(中华医学会生殖医学分会第五届委员会)【摘要】《世界卫生组织人类精液检查与处理实验室手册》（第5版）将精液中前向运动的精子比例低于参考值下限(32%)的病症定义为弱精子症。弱精子症是导致男性不有的常见原因，其病因复杂多样，诊断和治疗中有不少问题尚待明确和探讨，为此，中华医学会生殖医学分会组织男性生殖领城专家，以循证医学资料为依据，参考国内外研究最新进展，结合专家的诊疗经验和意见，共同制定本共识，【关键词】弱精子症：病因；诊断：治疗：专家共识【中图分类号】R698十.2【文献标识码】AExpert consensus on etiology,diagnosis and treatment of asthenozoospermiaPAN Bo-chen,SUN Ying-pu,SUN Hai-xiang,DENG Cheng-yan,LIU Ping,ZHOU Can-quan,FENG Yun,HAO Gui-min,LU Wen-hong,QUAN Song,SHEN Huan,SHI Juan-zhi,TENGXiao-ming,WANG Xiao-hong,WANG Xiu-xia,WU Qiong-fang,ZENG Yong,ZHANG Song-ying,ZHONG Ying,HUANG Xue-feng*,HUANG Guo-ning*The Fifth Committee of Chinese Society of Reproductive Medicine,Chinese Medical Association[Abstract]The World Health Organization Laboratory Manual for Human Semen Examination andProcessing(the fifth edition)defines asthenozoospermia as a disease in which the proportion of forwardmotile sperm in semen is lower than the lower limit of reference value(32%).Asthenozoospermia is acommon cause of male infertility.Its etiology is complex and diverse,and there are many issues in diagnosisand treatment that need to be clarified and discussed.To this end,Chinese Society of ReproductiveMedicine(CSRM),the reproductive branch of the Chinese Medical Association,has organized experts in thefield of male reproduction to formulate this consensus based on evidence-based medicine,with reference tothe latest research progress at home and abroad,and in combination with the diagnosis and treatmentexperience and opinions of CSRM experts[Key words]Asthenozoospermia;Etiology;Diagnosis;Treatment;Expert consensus(J Reprod Med2023,32(02):157-169)此，中华医学会生殖医学分会组织男性生殖领域专背景家以循证医学资料为依据，参考国内外研究最新进不孕不育是影响夫妇双方和家庭的全球性健康展，结合专家的诊疗经验和意见，共同制定本共识，问题，大约有15%的夫妇受到不育症的困扰。其中，约30%的不孕不育系因男性因素造成，而不孕【收稿日期】2022-1-19不育夫妇中有50%的男性存在生殖指标异常。弱【作者简介】潘伯臣，中国医科大学附属盛京医院生殖医学精子症是导致男性不育的常见原因，其病因复杂多中心男科.(*通讯作者：黄学锋xuefhuang@wmu edu cn:黄国宁样，诊断和治疗中有不少问题尚待明确和探讨。为gnhuang217 @sina com)
