宫腔内人工授精手术操作对周期妊娠率的影响  

Effects of operation factors on the outcomes of intrauterine insemination

作　　者：陈秀敏[1] 朱文杰[1] 张晓霞[1] 石嵩[1] 张婉菁[1] 

机构地区：[1]广东省深圳市妇幼保健院生殖健康科,518000

出　　处：《实用医学杂志》2013年第6期959-961,共3页The Journal of Practical Medicine

摘　　要：目的:探讨宫腔内人工授精周期影响妊娠率的手术操作因素。方法:回顾性分析1359个人工授精周期,分析手术操作中宫颈黏液清除、宫腔出血、精液漏出等因素对周期妊娠率的影响。结果:术中清除宫颈黏液434个周期,妊娠率13.14%,未清除者925个周期,周期妊娠率11.46%,两组妊娠率差异无显著性。术中宫腔出血周期299个,妊娠者37个,无出血周期1060个,妊娠者126个,两组临床妊娠率无差异(12.37%,11.89%,P>0.05)。术中存在精液漏出周期450个,妊娠者41个,无漏出周期909个,妊娠者122个,存在精液漏出周期临床率显著低于无漏出周期(9.11%13.42%,P<0.05)。结论:人工周期手术操作中宫颈黏液清除、宫腔出血对周期妊娠率无明显影响,精液漏出显著降低周期妊娠率。Objective To evaluate the effects of operation factors on the outcomes of intrauterine insemination （IUI）. Methods 1 359 IUI cycles from Jan 2006 to Jul 2012 were included. Effects of the operation factors including clearance of cervical mucus, uterus bleeding and sperm leaking on clinical pregnancy rates （PRs） were analyzed. Results PRs of 434 cycles with and of 925 cycles without clearance of cervical mucus were 13.14% and 11.46% （P 〉 0.05） ; those of 299 cycles with and of 1060 cycles without uterus bleeding were 12.37% and 11.89% （P 〉 0.05）; and those of 450 cycles with and 909 cycles without sperm leaking were 9.11% and 13.42% （P 〈 0.05）. Conclusions The process of cervical mucus cleaning and uterus bleeding in operation had no effects on the outcomes of IUI. Sperm leaking in operation could evidently reduce the PRs of IUI.

关 键 词：人工授精 手术 妊娠率 

分 类 号：R714.8[医药卫生—妇产科学]