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..

- . .. , -

, C. trachomatis M. hominis / U. Urealyticum,


, .
. , C. trachomatis, M. hominis U. Urealyticum
( )
.
: , .

,
,
.
,
,
.
,

.

,
.
(M.
hominis / U. urealyticum) [15]. [6, 7]. ,
.
,
C. trachomatis, M. hominis /
U. Urealyticum.

243 (
341 )
64

( ) - , .

C. trachomatis, M. hominis U.
urealyticum. ( ).

McCoy [8].

[9]. 1000 ( ), ,
, () . MayerStiasny [10] [11].
,
. [12],
C. Shirren [10] T. Kruger . [13].
, ,
. - ImmunoComb Chlamydia trachomatis IgA ImmunoComb Chlamydia trachomatis IgG (Orgenics, Israel).
( , )

, 4, 2007

. t- 2 .
<0,05 .

M. hominis
6% (14/243), U. urealyticum
10% (25/243) C. trachomatis 10% (24/243)
. 6 (2,5%) . , 18 (7,5%) .
4 (2%)
, .
C. trachomatis
.
(M. hominis / U. urealyticum)
26 (11%) . M. hominis 6 (2,5%) , U. urealyticum
14 (6%), M. hominis U. urealyticum 6 (2,5%). 14 ( 26)
/
, .
(M.
hominis / U. urealyticum) 12 (5%)
.
() 73
,
,

,
.

, - , .
, .

, .
4 8 .
23%
, 11 17%

(>0,05). (
) .


(. ; >0,05). ( 2 )
12% (9/73) ,
11% (2/18) 8% (1/12)
(>0,05). , ,
, (3,90,8 2,80,4 ),
(=0,1).
-

,
*
(n=7 3 ),
. (%)

(n=1 8 ),
. (%)

(n=1 2 ),
. (%)

1 7 (2 3 )

2 (1 1 )

2 (1 7 )

3 5 (4 8 )

1 1 (6 1 )

6 (5 0 )

2 (3 )

7 (1 0 )

2 (1 1 )

2 (1 7 )

1 (1 )

1 (6 )

1 1 (1 5 )

2 (1 1 )

2 (1 6 )

. * (>0,05).

65

,
( 95% ).
(112);
.


( 3,20,3
3,00,2 ; >0,05).

(>0,05). ( 1,5 ) 11%
(8/73) , 28%
8% (5/18; =0,09)
(1/12; >0,05) .

.
(. ; >0,05),

(=0,02). ( 20 /)
16% (12/73) , 17%
(3/18) 17% (2/12) .
(
A B) ( 50%, . ). 66

73%
, 83%
89% (>0,05
). 63% , 67% (>0,05) 94%
(=0,02)
( )
20%.
, ( )
10%, 3 ,
(28 10% ; =0,03).

10%.

, , (r=+0,7; <0,01).

(r=0,05; >0,05),
(r=+0,3; >0,05).

, 4, 2007

47% , 56% 67%


30%
( D). (>0,05).

(. ; =0,45). 50%
74%
, 77% 67% (>0,05).
, 14% , T.
Kruger . [14]
, ,

6% (1/18) 8% (1/12) 3%
(2/73) (>0,05).

(. ). 56% 10%
(=0,04; ),

30 33%
(>0,05).
30%
. 15% 33% 28% 18% (>0,05).

(>0,05).
39% (=0,05; ), 33% (>0,05; ) 19%
.

( A B) ( : r=0,37; >0,05;
: r=0,25; =0,02; :
r=0,14; >0,05).

C. trachomatis, M. hominis
U. urealyticum , -

[6, 1518].
,
.
,

,
. . , - .
. ,

[19], , [20, 21].

[21]. S. Hosseinzadeh . [6] , , .
, H. Wolff . [22].
,

.
,
.


in vitro [23].
[6]
642 .

. ,
. , [23],
.
, M. Reichart . [24],
Hams F-10.
, ,
.
,
67

U. urealyticum
[24].

.

. ,

220% 1218%
[21, 26].
, .
- , .

.
-
. , , () , .
, C. trachomatis 500 E. coli
[27]. , -
[20].

[21, 28], E. coli S. aureus


, , .
( ). , 1225% .
, ,
.
, ,
.
,


.
. -
.
, ,
.

1.

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in men attending for routine semen analysis. Prevalence, incidence
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2.

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3.

Nunez-Calonge R., Caballero P., Redondo C. et al. Ureaplasma


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10.

Schirren C. Practische Andrologie. Basel 1982;102.

11.

. . .. , .. .
1988;318.

12.

. : . . 1969;234.

13.

Kruger T.F., DuToit T.C., Franken D.R. et al. A new computerized


method of reading sperm morphology (strict criteria) is as efficient
as technician reading. Fertil Steril 1993;59:202209.

14.

Kruger T.F., Menkveld R., Stander F.S. et al. Sperm morphologic features
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1123.

15.

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4.

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5.

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6.

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7.

Motrich R.D., Cuffini C., Oberti J.P. et al. Chlamydia trachomatis


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17.

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in seminal plasma from subfertile men are not indicative of the presence
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18.

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8.

.., ..
. . .. .
: 1998;182.

9.

. : 2001;4:143.

68

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19.

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semen of infertile African men at Garankuwa hospital. Andrologia
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20.

Naessens A., Foulon W., Debrucker P. et al. Recovery of microorganisms


in semen and relationshi p to semen evaluation. Fertil Steril
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24.

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human and ram sperm nuclear chromatin integrity by sexually
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21.

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and semen quality. J Reprod Immunol 2005;67:5156.

26.

.., .. . 2004;6:1014.

22.

Wolff H., Neubert U., Zebhauser M. et al. Chlamydia trachomatis induces


an inflammatory response in the male genital tract and is associated
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27.

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23.

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human spermatozoa with Chlamydia trachomatis serovar E causes
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