沈阳市1010例不孕不育症患者病因分析  

Etiology analysis of 1010 cases of infertility in Shenyang city

作　　者：肖育红[1] 周敏[1] 齐倩[1] 白璐[1] 张丽丽[2] 

机构地区：[1]中国人民解放军第202医院优生优育中心,沈阳110003 [2]舒兰市人民医院妇产科,吉林舒兰132600

出　　处：《中国性科学》2016年第4期123-125,共3页Chinese Journal of Human Sexuality

摘　　要：目的:研究分析沈阳市1010例不孕不育症患者病因。方法:选择2012年6月至2014年12月在我院接受诊断及治疗的1010例不孕不育患者进行研究,为所有患者进行检查,记录导致患者不孕不育的病因,使用Logistic回归分析法评价影响男女患者不孕不育的危险因素。结果:女性不孕的病因在原发不孕及继发不孕的患者中均以排卵障碍为主,其次为输卵管病变。原发不孕与继发不孕患者在病因上对比,差异无统计学意义(P>0.05)。原发不育的病因主要为弱精子症和精液不液化,以及畸精子症,而继发不育的主要病因是弱精子症和畸精子症,以及少精子症。原发不育与继发不育患者在病因上对比,差异无统计学意义(P>0.05)。通过Logistic回归分析法评价可知,影响女性不孕的危险因素为排卵障碍及输卵管病变,影响男性不育的危险因素为弱精子症及畸精子症。结论:沈阳市不孕不育患者的病因较多,临床上应给予积极的健康宣教以及合理的预防措施,从而尽可能地降低不孕不育患者的发病比例,值得重视。Objectives：To study etiology of 1010 infertility patients in Shenyang city.Methods：1010 cases of infertility in our hospital from June 2012 to December 2014 were selected and examined.The causes of infertility were recorded.Regression analysis of risk factors for male and female patients with infertility was evaluated using logistic method.Results：The etiology of female infertility in primary infertility and secondary infertility in patients was mainly ovulation disorder,followed by tubal disease.The difference of causes in primary infertility and secondary infertility had no statistical significance （P〉 0.05）.The main causes of primary infertility were asthenospermia,semen liquefaction and teratozoospermia.The main causes of secondary infertility were asthenospermia,teratozoospermia and oligospermia.For primary infertility and secondary infertility,there was no significant difference in etiology （P 〉0.05）.By logistic regression analysis,the risk factors of female infertility were ovulation and tubal disease.Risk factors for male sterility were asthenospermia and teratozoospermia.Conclusion：The etiology of Shenyang infertility patients is complicated.Clinical doctors should give positive health education and reasonable preventive measures,so as to reduce the incidence of infertility patients.

关 键 词：沈阳市 不孕不育症 病因分析 

分 类 号：R711.6[医药卫生—妇产科学] R698.2[医药卫生—临床医学]