Análisis del factor cervical de esterilidad
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Alberto" "autores" => array:5 [ 0 => array:3 [ "nombre" => "R." "apellidos" => "Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "L." "apellidos" => "Cabrera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Alberto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Facultad de Medicina." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "P. Prieto" "autores" => array:1 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Prieto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Facultad de Psicología. Universidad de La Laguna. Hospital Universitario de Canarias. Tenerife. España." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2002-12-12" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To investigate the role of both cervical mucus and semen parameters in diagnostic tests of the cervical factor: Insler test, postcoital test (PCT) and in vitro sperm-cervical mucus penetration test (PT), with special interest in identified pathogenic organisms.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We investigated infertility in 376 infertile patients, concentrating on the cervical factor in 281 of them (74.73%), and using three test methods. Insler (n = 201), postcoital (n = 254), and PT (n = 79), and endocervical and vaginal secretion cultures in all of them. Also the direct microimmuno-fluorescence test (Micro-Trak)<span class="elsevierStyleSup">®</span>and 222 routine sperm tests on their partners.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Insler test was normal in 72.6% of the cases, without significant (NS) correlation with infection. The postcoital test was pathological in 72.55% of cases. We correlated these with the Insler test results (<span class="elsevierStyleItalic">P</span>< 0.005; χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span> = 105.670), TPV results (NS), semen parameters (<span class="elsevierStyleItalic">P</span> < 0.005; χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span> = 4.441) and infection (NS), particularly with <span class="elsevierStyleItalic">Chlamydia trachomatis</span>(χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span>= 0.529; <span class="elsevierStyleItalic">P</span>< 0.005). The PT showed in 45.8% of cases the sperm did not penetrate, in 24.1% it did, in 3.6% mobility was lowered, and in 26.5% it was immobile, noting that PT was in correlation with sperm analysis (<span class="elsevierStyleItalic">P</span> < 0.005; χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span>= 3.920).</p> <span class="elsevierStyleSectionTitle">Conclusion:</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results of the postcoital test depend on the properties of the mucus and semen, these being altered by the presence of <span class="elsevierStyleItalic">C. trachomatis</span>infection, so that PT is related to the sperm parameters.</p>" ] "en" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo:</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se ha evaluado la influencia tanto del moco cervical como de las características del semen en las diversas pruebas diagnósticas del factor cervical: test de Insler,test poscoital y test de penetración <span class="elsevierStyleItalic">in vitro</span>,con especial atención al papel que desempeñan los microorganismos patógenos identificados.</p> <span class="elsevierStyleSectionTitle">Material y métodos:</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se efectuó el protocolo de esterilidad a un total de 376 mujeres,centrándonos en el análisis del factor cervical,llevado a cabo en 281 de ellas (74,73%), con tres pruebas:de Insler (n = 201), poscoital (n = 254) y de penetración <span class="elsevierStyleItalic">in vitro</span> (n = 79),además de cultivos de la secreción endocervical y vaginal a todas ellas, y test de microinmunofluorescencia directa para la identificación de <span class="elsevierStyleItalic">Chlamy dia trachomatis</span> (Micro-Trak<span class="elsevierStyleSup">®</span>),así como 222 espermiogramas a sus parejas.</p> <span class="elsevierStyleSectionTitle">Resultados:</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">El test de Insler fue normal en el 72,6% de los casos,no hallando relación con la infección (NS). El test poscoital se estableció como patoló gicoen el 72,5% de los casos. Se relacionaron sus resultados con el test de Insler (p < 0,005; χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span>= 5,670), el test de penetración <span class="elsevierStyleItalic">in vitro</span> (NS),con los del espermiograma (p < 0,005; χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span>= 4,441) y con la infección demanera global (NS) y por <span class="elsevierStyleItalic">C. trachomatisen</span> particular(χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span>= 0,529; p < 0,005). En el test de penetración <span class="elsevierStyleItalic">in vitro</span> se observó que en un 45,8% de los casos los espermatozoides no penetraban,en un 24,1% sí lo hacían,en tanto que en un 3,6% se disminuía su movilidad y en un 26,5% se inmovilizaban,observando que el test de penetración <span class="elsevierStyleItalic">in vitro</span> se relacionaba con el espermiograma (p < 0,005:χ<span class="elsevierStyleSup">2</span><span class="elsevierStyleInf">1</span> = 3,920).</p> <span class="elsevierStyleSectionTitle">Conclusión:</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los resultados del test poscoital dependen de las características del moco y del semen, y se encuentran alterados ante la presencia de infección por <span class="elsevierStyleItalic">C. trachomatis</span>,en tanto que el test de penetración <span class="elsevierStyleItalic">in vitro</span> se relaciona con los valores del espermiograma.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 2 | 8 | 10 |
| 2024 Octubre | 27 | 62 | 89 |
| 2024 Septiembre | 26 | 30 | 56 |
| 2024 Agosto | 22 | 18 | 40 |
| 2024 Julio | 32 | 21 | 53 |
| 2024 Junio | 39 | 26 | 65 |
| 2024 Mayo | 55 | 28 | 83 |
| 2024 Abril | 51 | 35 | 86 |
| 2024 Marzo | 37 | 30 | 67 |
| 2024 Febrero | 26 | 23 | 49 |
| 2024 Enero | 37 | 22 | 59 |
| 2023 Diciembre | 48 | 29 | 77 |
| 2023 Noviembre | 53 | 36 | 89 |
| 2023 Octubre | 78 | 65 | 143 |
| 2023 Septiembre | 51 | 17 | 68 |
| 2023 Agosto | 37 | 44 | 81 |
| 2023 Julio | 43 | 38 | 81 |
| 2023 Junio | 61 | 17 | 78 |
| 2023 Mayo | 69 | 10 | 79 |
| 2023 Abril | 44 | 21 | 65 |
| 2023 Marzo | 57 | 29 | 86 |
| 2023 Febrero | 34 | 9 | 43 |
| 2023 Enero | 43 | 12 | 55 |
| 2022 Diciembre | 28 | 26 | 54 |
| 2022 Noviembre | 42 | 20 | 62 |
| 2022 Octubre | 37 | 40 | 77 |
| 2022 Septiembre | 53 | 23 | 76 |
| 2022 Agosto | 54 | 82 | 136 |
| 2022 Julio | 41 | 34 | 75 |
| 2022 Junio | 29 | 28 | 57 |
| 2022 Mayo | 37 | 49 | 86 |
| 2022 Abril | 100 | 59 | 159 |
| 2022 Marzo | 69 | 93 | 162 |
| 2022 Febrero | 42 | 28 | 70 |
| 2022 Enero | 46 | 73 | 119 |
| 2021 Diciembre | 61 | 106 | 167 |
| 2021 Noviembre | 40 | 71 | 111 |
| 2021 Octubre | 52 | 67 | 119 |
| 2021 Septiembre | 30 | 55 | 85 |
| 2021 Agosto | 39 | 63 | 102 |
| 2021 Julio | 33 | 43 | 76 |
| 2021 Junio | 17 | 24 | 41 |
| 2021 Mayo | 63 | 80 | 143 |
| 2021 Abril | 113 | 127 | 240 |
| 2021 Marzo | 40 | 113 | 153 |
| 2021 Febrero | 37 | 51 | 88 |
| 2021 Enero | 41 | 66 | 107 |
| 2020 Diciembre | 57 | 76 | 133 |
| 2020 Noviembre | 66 | 87 | 153 |
| 2020 Octubre | 37 | 67 | 104 |
| 2020 Septiembre | 36 | 68 | 104 |
| 2020 Agosto | 38 | 56 | 94 |
| 2020 Julio | 37 | 45 | 82 |
| 2020 Junio | 35 | 32 | 67 |
| 2020 Mayo | 41 | 29 | 70 |
| 2020 Abril | 28 | 31 | 59 |
| 2020 Marzo | 25 | 12 | 37 |
| 2020 Febrero | 51 | 31 | 82 |
| 2020 Enero | 31 | 43 | 74 |
| 2019 Diciembre | 44 | 44 | 88 |
| 2019 Noviembre | 32 | 38 | 70 |
| 2019 Octubre | 30 | 32 | 62 |
| 2019 Septiembre | 59 | 49 | 108 |
| 2019 Agosto | 37 | 45 | 82 |
| 2019 Julio | 32 | 67 | 99 |
| 2019 Junio | 57 | 105 | 162 |
| 2019 Mayo | 178 | 234 | 412 |
| 2019 Abril | 85 | 122 | 207 |
| 2019 Marzo | 32 | 44 | 76 |
| 2019 Febrero | 17 | 41 | 58 |
| 2019 Enero | 19 | 37 | 56 |
| 2018 Diciembre | 9 | 38 | 47 |
| 2018 Noviembre | 27 | 52 | 79 |
| 2018 Octubre | 47 | 57 | 104 |
| 2018 Septiembre | 19 | 15 | 34 |
| 2018 Agosto | 6 | 38 | 44 |
| 2018 Julio | 4 | 19 | 23 |
| 2018 Junio | 6 | 21 | 27 |
| 2018 Mayo | 8 | 22 | 30 |
| 2018 Abril | 18 | 18 | 36 |
| 2018 Marzo | 7 | 11 | 18 |
| 2018 Febrero | 5 | 2 | 7 |
| 2018 Enero | 3 | 6 | 9 |
| 2017 Diciembre | 7 | 7 | 14 |
| 2017 Noviembre | 15 | 9 | 24 |
| 2017 Octubre | 13 | 8 | 21 |
| 2017 Septiembre | 14 | 7 | 21 |
| 2017 Agosto | 19 | 7 | 26 |
| 2017 Julio | 16 | 9 | 25 |
| 2017 Junio | 10 | 11 | 21 |
| 2017 Mayo | 16 | 14 | 30 |
| 2017 Abril | 11 | 5 | 16 |
| 2017 Marzo | 23 | 31 | 54 |
| 2017 Febrero | 17 | 2 | 19 |
| 2017 Enero | 12 | 3 | 15 |
| 2016 Diciembre | 52 | 3 | 55 |
| 2016 Noviembre | 61 | 5 | 66 |
| 2016 Octubre | 72 | 6 | 78 |
| 2016 Septiembre | 37 | 11 | 48 |
| 2016 Agosto | 21 | 4 | 25 |
| 2016 Julio | 32 | 6 | 38 |
| 2016 Junio | 38 | 7 | 45 |
| 2016 Mayo | 31 | 15 | 46 |
| 2016 Abril | 52 | 8 | 60 |
| 2016 Marzo | 54 | 10 | 64 |
| 2016 Febrero | 46 | 13 | 59 |
| 2016 Enero | 41 | 10 | 51 |
| 2015 Diciembre | 27 | 5 | 32 |
| 2015 Noviembre | 58 | 5 | 63 |
| 2015 Octubre | 99 | 7 | 106 |
| 2015 Septiembre | 53 | 8 | 61 |
| 2015 Agosto | 53 | 3 | 56 |
| 2015 Julio | 61 | 9 | 70 |
| 2015 Junio | 59 | 5 | 64 |
| 2015 Mayo | 57 | 6 | 63 |
| 2015 Abril | 52 | 11 | 63 |
| 2015 Marzo | 72 | 1 | 73 |
| 2015 Febrero | 40 | 6 | 46 |
| 2015 Enero | 59 | 0 | 59 |
| 2014 Diciembre | 69 | 3 | 72 |
| 2014 Noviembre | 73 | 4 | 77 |
| 2014 Octubre | 49 | 5 | 54 |
| 2014 Septiembre | 54 | 2 | 56 |
| 2014 Agosto | 62 | 1 | 63 |
| 2014 Julio | 59 | 1 | 60 |
| 2014 Junio | 56 | 2 | 58 |
| 2014 Mayo | 44 | 3 | 47 |
| 2014 Abril | 34 | 2 | 36 |
| 2014 Marzo | 39 | 2 | 41 |
| 2014 Febrero | 50 | 1 | 51 |
| 2014 Enero | 35 | 2 | 37 |
| 2013 Diciembre | 55 | 2 | 57 |
| 2013 Noviembre | 38 | 5 | 43 |
| 2013 Octubre | 55 | 4 | 59 |
| 2013 Septiembre | 33 | 3 | 36 |
| 2013 Agosto | 44 | 8 | 52 |
| 2013 Julio | 37 | 2 | 39 |
| 2003 Febrero | 1151 | 0 | 1151 |
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