B超引导下行人工授精对妊娠结局的影响  

The Effect of Ultrasound-Guided AIH on Pregnancy Outcome

作　　者：邢卫杰[1] 蔡柳洪[1] 孙丽 陶欣[1] 欧建平[1] 

机构地区：[1]中山大学附属第三医院生殖医学中心,广东广州510630

出　　处：《临床医学工程》2018年第2期151-152,共2页Clinical Medicine & Engineering

摘　　要：目的探讨在实施人工授精(AIH)手术时使用B超引导对妊娠结局的影响。方法回顾性分析2014年至2016年在我中心接受AIH治疗的1 056个周期。根据是否使用B超引导分为两组,分析比较两组的临床资料和妊娠结局。结果 B超引导组的人授管血染率为4.91%,显著低于非B超引导组的13.17%,差异有统计学意义(P<0.05)。B超引导组的精液反流发生率为6.84%,显著低于非B超引导组的18.31%,差异有统计学意义(P<0.05)。B超引导组的临床妊娠率为12.28%,非B超引导组的临床妊娠率为10.49%,两组差异无统计学意义(P>0.05)。结论 B超引导下行人工授精术可以显著降低人授管的血染率和精液反流的发生率,在一定程度上可提高临床妊娠率。Objective To explore the effect of ultrasound-guided artificial insemination with husband sperm （AIH） on pregnancy outcome. Methods A retrospective study of the clinical data of 1 056 cycles of AIH in our center from 2014 to 2016 was performed. All patients were divided into two groups according to whether the use of ultrasound-guidance. The clinical data and pregnancy outcomes of two groups were analyzed and compared. Results The rate of catheters contaminated by blood of the ultrasound-guided group was 4.91%, significantly lower than 13.17% of the non-ultrasound-guided group, with statistical difference （P〈0.05）. The incidence of semen overflow of the ultrasound-guided group was 6.84%, significantly lower than 18.31% of the non-ultrasound-guided group, with statistical difference （P 〈0.05）. The pregnancy rate was 12.28% in the ultrasound-guided group, and 10.49% in the non-ultrasound-guided group, with no statistical difference （P 〉0.05）. Conclusions Ultrasound-guide AIH can significantly lower the incidences of catheters with blood-staining and semen overflow, and improve the clinical pregnancy rate to some extent.

关 键 词：人工授精 B超引导 妊娠结局 

分 类 号：R714.13[医药卫生—妇产科学]