不同不孕原因宫腔内人工授精疗效分析  

Clinical analysis on intrauterine insemination in 266 cycles.

作　　者：沙爱国[1] 任建枝[1] 郑仁瑞[1] 李萍[1] 邱慧玲[1] 黄扉[1] 

机构地区：[1]解放军第一七四医院生殖医学中心,福建厦门361003

出　　处：《中国优生与遗传杂志》2005年第3期103-104,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的　总结 70 2周期因不同不孕原因行宫腔内人工授精 (IUI)的临床效果。方法　回顾分析我院 1 999年6月至 2 0 0 4年 2月 5 4 2对不孕症夫妇实施IUI治疗的 70 2个周期。根据不孕的原因分为不明原因组、免疫性不孕组、男性因素组、卵巢因素组及输卵管因素组。比较各组间临床妊娠率。结果　每周期临床妊娠率为 1 1 .2 5 %。每例临床妊娠率为 1 4 .5 8%。原发不孕组临床妊娠率明显高于继发不孕组 (1 8.4 6 %对 6 .70 % )。输卵管因素性不孕组临床妊娠率明显低于其他不孕组。IUI治疗 2周期临床妊娠率明显高于治疗 1周期和 3周期及以上者。结论　宫腔内人工授精是治疗非输卵管因素不孕的一种有效方法 ,治疗时限以 3周期为宜。Objective : To summary the clinical results of intrauterine insemination of the 702 cycles . Methods :Seven hundred and two cycles in 542 couples undergoing intrauterine insemination, in our hospital from June 1999 to February 2004, were retrospectively analyzed. A total of 542 couples were divided into five groups according to the infertility reason : unexplained infertility immune in fertility, male factor ovarian factor and tube factor. The pregnancy rate was compared。Results: The pregnancy rate was 11.25% per cycle and 14.58% per patient. The gravidity rate of original infertility group was obviously higher than that of the secondary infertility group (18.46% versus 6.70%). The clinical pregnancy rate in the tube factor group was obviously lower than others. The clinical pregnancy rate by IUI for 2 periods was obviously higher than for 1 or 3 and above periods. Conclusion :IUI is a very useful method of treating the sterility causing by non-salpinx factors, the best time limit is 3 periods.

关 键 词：不孕症 促排卵 宫腔内人工授精 

分 类 号：R714.8[医药卫生—妇产科学]