介入性输卵管再通术联合宫腔内人工授精治疗不孕症的效果

发布时间：2018-04-01 17:40

本文选题：输卵管再通术　切入点：宫腔内人工授精　出处：《广东医学》2017年05期

【摘要】：目的分析介入性输卵管再通术联合宫腔内人工授精(IUI)治疗双侧输卵管近端阻塞合并男性精液异常导致不孕症的临床效果。方法回顾性分析242对不孕症夫妇共行532周期的IUI资料,观察组23对夫妇,女方为双侧输卵管近端阻塞同时合并男方精液异常,行介入性输卵管再通术联合IUI治疗;对照组219对夫妇,女方双侧输卵管通畅,单纯因男方精液异常行IUI治疗,比较两组患者IUI临床妊娠率。结果观察组共行46周期IUI,7例妊娠,临床妊娠率15.22%;对照组共行486周期IUI,79例妊娠,临床妊娠率16.25%,两组比较差异无统计学意义(P0.05)。结论对双侧输卵管近端阻塞合并男性精液异常的不孕症患者,行介入性输卵管再通术联合IUI助孕治疗可使部分患者成功受孕,为患者提供一种新的治疗方法。
[Abstract]:Objective to analyze the clinical effect of interventional fallopian tube recanalization combined with intrauterine artificial insemination (IUI) in the treatment of male infertility caused by bilateral oviduct proximal obstruction with abnormal semen.Methods A retrospective analysis was made on the IUI data of a total of 532cycles of infertile couples. In the observation group, 23 couples were treated with interventional fallopian tube recanalization combined with IUI.The control group 219 couples, the female bilateral oviduct unobstructed, simply because of the male semen abnormal treatment with IUI, compared the two groups of IUI clinical pregnancy rate.Results there were 7 pregnancies with 46 cycles of IUI in the observation group and 79 pregnancies with 486 cycles of IUI in the control group with a clinical pregnancy rate of 16.25. The difference between the two groups was not statistically significant (P 0.05).Conclusion the interventional fallopian tube recanalization combined with IUI assisted pregnancy therapy for infertile patients with bilateral proximal tubal obstruction combined with abnormal semen may make some patients conceive successfully and provide a new treatment for the patients.
【作者单位】：广州市第一人民医院生殖医学中心;广州市第一人民医院介入科;
【分类号】：R711.6

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