宫、腹腔镜下输卵管插管联合人工授精治疗输卵管梗阻性不孕  

Palace Laparoscopic Tubal Intubation Combined with Artificial Insemination Treating Fallopian Tube Obstructive Infertility

作　　者：曾美玲 钟艳萍 卫凤英 林冰 李越 侯倩 

机构地区：[1]广东省佛山市顺德区妇幼保健院,佛山528300

出　　处：《生殖与避孕》2013年第8期571-574,共4页Reproduction and Contraception

摘　　要：目的:观察宫腹腔镜下输卵管插管联合人工授精治疗输卵管梗阻性不孕的临床疗效。方法:将40例输卵管梗阻性不孕且经宫腹腔镜下输卵管插管治疗后1年仍未孕的患者随机分为非人工授精组(n=20),给予监测排卵下自然周期或控制性促排卵指导性生活自然受孕的期待方法治疗;人工授精组(n=20),给予监测排卵下自然周期或控制性促排卵行夫精人工授精(IUI)治疗,观察其妊娠结局。结果:人工授精组临床妊娠率为25.00%,周期妊娠率为11.90%,与非人工授精组的15.00%、4.35%比较,差异均有统计学意义(P<0 05)。结论:宫、腹腔镜下输卵管插管联合人工授精治疗输卵管梗阻性不孕疗效满意,值得临床关注。Objective： To observe the clinical curative effect of the palace laparoscopic tubal intubation combined with artificial insemination on treating fallopian tube obstructive infertility. Methods： Forty cases of fallopian tube obstructive infertility who were still not pregnant after treatment with palace laparoscopic tubal intubation one year were randomly divided into two groups, non artificial insemination group （n=20） were given tmder monitoring ovulation or controlling natural cycle ovulation guiding life naturally conceived forward to treatment. Artificial insemination group （n=20） were given monitoring ovulation under naatral cycle or stimulate ovulation control line, pure artificial insemination treatment. Pregnancy outcomes were compared between the two groups. Results： In artificial insemination group, the clinical pregnancy rate was 25.00%, the cycle pregnancy rate was 11.90%, in non artificial insemination group, they were 15.00% and 4.35%, respectively, the difference had statistical significances between the two groups （P〈0 05）. Conclusion： Palace laparoscopic tubal intubation combined with artificial insemination for treating fallopian tube obstructive infertility has a satisfied curative effect and is worth paying clinical attentiOns.

关 键 词：输卵管梗阻性不孕 宫腹腔镜 输卵管插管 人工授精 

分 类 号：R711.6[医药卫生—妇产科学]