子宫内膜异位症不孕患者腹腔镜术后的人工授精治疗  

Intrauterine insemination on infertile patients of endometriosis treated by laparoscopic operation

作　　者：林虹[1] 黄逸乔 王玉莲[1] 肖婉芬[1] 郭垂芸[1] 

机构地区：[1]汕头大学医学院第一附属医院,515041 [2]汕头市澄海区妇幼保健院,515800

出　　处：《中国优生与遗传杂志》2010年第1期112-113,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的分析子宫内膜异位症合并不孕患者腹腔镜术后行丈夫精液宫腔内人工授精妊娠率的影响因素。方法2005年1月到2008年12月间在汕头大学医学院第一附属医院生殖中心就诊的内异症合并不孕患者，共进行112周期人工授精治疗，将妊娠周期及未妊娠周期的术后用药情况、时间、周期数进行分析比较。结果IUI的周期妊娠率为7．14％，术后用药及未用药两组患者的妊娠率比较无统计学差异，术后1年内行人工授精的周期妊娠率高于术后1年以上者，差异有统计学意义，第1～3周期内人工授精的周期妊娠率高于4周期以上者，差异有统计学意义。结论子宫内膜异位症合并不孕患者腹腔镜术后行人工授精治疗的最佳时间是术后1年，3周期内有较高的妊娠率。Objective： To analyze factors affecting the pregnancy rate of intrauterine insemination with husband＇s sperm for infertile patients of endometriosis treated by laparoseopic operation. Methods： Infertile patients of endometriosis taken clinical diagnose at Reproduction Center of The First Affiliated Hospital of Medical College, Shantou University have received 122 courses of artificial insemination treatment. Analysis and comparison are conducted on medication, time and cycle number after operation between pregnancy cycle and nonpregnancy cycle. Results： Pregnancy rate of IUI （intrauterine insemination） cycle is 7. 14%. There is no statistics difference in comparing pregnancy rate between patient group taking medicine after operation and patient group without taking medicine after operation. Pregnancy rate of IUI cycle within 1 year after operation is higher than that after 1 year of operation, there is meaningful statistics difference. Pregnancy rate within 1 st -3rd IUI cycle is higher than that after 4th IUI cycle onwards, there is meaningful statistics difference. Conclusion ： The best time to conduct artificial insemination for infertile patients of endometriosis treated by laparoscopie operation is within 1 year after operation, there is higher pregnancy rate within first 3 cycles.

关 键 词：子宫内膜异位症 不孕症 宫腔内人工授精 

分 类 号：R714.8[医药卫生—妇产科学]