影响宫腔内人工授精妊娠率的相关因素分析

发布时间：2018-03-05 14:36

本文选题：宫腔内人工授精　切入点：年龄　出处：《中国现代医生》2015年20期 　论文类型：期刊论文

【摘要】：目的探讨影响宫腔内人工授精(IUI)妊娠率的相关因素。方法回顾性分析本中心376对夫妇715个IUI周期,按年龄分为:30、30~35、36~40、40岁组;按输卵管通畅程度分为双侧输卵管通畅、一侧输卵管通畅、双侧输卵管通而不畅三组;按周期数分为:第1个、第2个、第3及3个周期;按处理后注入宫腔内前向运动精子总数(NMSI)分为:2、2~5、6~10、11~20及20×106组。分别比较各组间的妊娠率,分析各因素对IUI妊娠率的影响。结果年龄30、30~35、36~40、40岁组临床妊娠率分别为18.62%、14.20%、12.50%及4.16%;双侧输卵管通畅、一侧输卵管通畅、双侧输卵管通而不畅组临床妊娠率分别为20.78%、13.27%、8.54%;第1、2、3及3个周期临床妊娠率分别为14.36%、19.91%、12.50%及0.00%;NMSI2、2~5、6~10、11~20及20×106组临床妊娠率分别为2.70%、17.65%、16.39%、15.84%及16.83%。结论年龄、输卵管通畅程度、IUI周期数及处理后NMSI均对IUI妊娠率有影响。当年龄40岁、双侧输卵管通而不畅、处理后NMSI2×106以及3~4次IUI尝试仍未成功的患者,不适合继续尝试IUI治疗。
[Abstract]:Objective to investigate the related factors influencing the pregnancy rate of intrauterine artificial insemination (IUI). Methods We retrospectively analyzed 715 IUI cycles of 376 couples in our center, and divided them into three groups according to their age, and divided them into two sides according to the degree of tubal patency. The first, second, third and third cycles were divided into three groups: the first, the second, the third and the third, according to the number of cycles. According to the total number of intrauterine motile sperm injected into uterine cavity after treatment, NMSI was divided into two groups. The pregnancy rates were compared among the three groups and the effects of various factors on the pregnancy rate of IUI were analyzed. Results the clinical pregnancy rates were 18.622% 14.2012.50% and 4.16% respectively in the group of 30 years old, 14.20% and 4.16%, respectively. The clinical pregnancy rates of the two groups were 20.7813.27 and 8.54.The clinical pregnancy rates of the 1st and 3rd cycles were 14.36 and 19.91 12.50%, respectively, and the clinical pregnancy rates of 6101120 and 20 脳 106 were 2.70% and 17.65% and 16.833.Conclusion the clinical pregnancy rates of the two groups were 2.70% and 17.65% and 16.833.Conclusion the clinical pregnancy rates of the two groups are 2.70%, 17.65% and 16.833.Conclusion the clinical pregnancy rates of the two groups are 20.7813.27 and 8.548.Conclusion the clinical pregnancy rates of the two groups are 14.36%, 19.91% and 12.50%, respectively. The number of cycles of tubal patency and NMSI after treatment had an effect on the pregnancy rate of IUI. When the age of 40 years old, bilateral oviduct patency, NMSI2 脳 10 ~ 6 and 3 IUI attempts were not successful, it was not suitable to continue to try IUI therapy.
【作者单位】：河南省濮阳市妇幼保健院生殖医学中心;
【分类号】：R714.8

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