我区门诊女性不孕的病因探讨(附203例分析)  

The Etiology of Female Infertility: Analysis of 203 cases

作　　者：张珍[1] 李薇[1] 凌蓓蒂[1] 

机构地区：[1]广东药学院附属门诊妇产科,广州510224

出　　处：《齐齐哈尔医学院学报》2005年第1期7-9,共3页Journal of Qiqihar Medical University

摘　　要：目的分析我区不孕女性不孕症的病因,从而探讨临床防治.方法采用WHO女性不孕检查和诊断标准,对在我院门诊女性不孕专科诊治的自2003～2004年203例女性不孕患者进行系统的病史询问、临床检查和病因诊断分析.结果 203例女性不孕症中,原发性不孕99例,继发性不孕104例,比例相当.内分泌因素92例,占45.32%,位居女性不孕病因的首位,且原发不孕组明显高于继发组,差别有非常显著性(P<0.01).排卵障碍77例,占内分泌因素83.70%.高催乳素血症(40例)占内分泌因素43.48%,原发不孕组(30例)明显高于继发组(10例),差别有非常显著性(P<0.01).输卵管因素81例,占39.90%,继发不孕组(58例)明显高于原发组(23例),差别有非常显著性(P<0.01).结论内分泌因素占女性不孕症病因的首位,应重视内分泌因素对不孕的影响.高催乳素血症导致的不孕不容忽视.无论原发或继发不孕症,均应强调测定血清PRL水平以明确不孕症的原因和选择正确的治疗.输卵管因素仍占女性继发不孕病因的首位,其发生率有增长趋势,特别应重视加强妇女卫生保健,避免生殖道感染导致的输卵管阻塞.女性不孕症的治疗非常重要,其预防也不能忽视,研究不孕症病因的另一目的是寻找有效的预防措施.Objective To investigate the etiology of female infertility and to direct the clinical treatments. Methods 203 infertile women more than two years were collected in our outpatient department between 2003 and 2004. We did the etiological survey by inquiring the medical histories, healthy checking and relative accessory examinations. Results Among the 203 infertile women, the number of primary sterile patients(99 cases) were almost the same number of secondary ones(104 cases). 92 cases(45.32%) were due to the factors of endocrinology, which was the fast factor in the female infertility, and the primary infertile number was significantly higher than secondary ones(P<0.0001). 77 patients suffered from ovulation obstruction, were 83.70% of the endocrinological factor. 40 patients suffered from hyperprolactinemia and the primary infertile patients number was significantly higher than secondary ones(P<0.0002). 81(39.90%) patients suffered from the factor of oviduct and the patients’s number of the secondary group was significantly higher than primary ones.(P<0.0001). Conclusions We should pay more attention to the factor of endocrinology,which was the fast factor in the female infertility. We should not ignore hyperprolactinemia, the important factor of infertility. Not only the primary patients and the secondary ones, we should attach importance to checking their prolactin level. The factor of oviduct, rising up in recent years, was the fast factor in secondary infertility. We should care for women’s health,especially the reproductive infection. The prevention and treatment are both important in dealing with the infertility.

关 键 词：女性不孕症 内分泌因素 病因 治疗 门诊 高催乳素血症 继发不孕 首位 显著性 专科 

分 类 号：R711[医药卫生—妇产科学] R271.14[医药卫生—临床医学]