国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 167-168.

• 论著 • 上一篇    下一篇

继发性不孕症治疗方法的选择及妊娠结局分析

毕芳芳， 杨 清， 李景溪， 王睿聪   

  1. 110004沈阳,中国医科大学附属盛京医院1妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 杨 清

Choice of Different Treatment of Secondary Infertility and Analysis of Pregnancy Outcome

BI Fang-fang，YANG Qing，LI Jing-xi，WANG Rui-cong   

  1. Department of Obstetrics and Gynecology，Shengjing Hospital of China Medical University，Shenyang 110004，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: YANG Qing

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摘要： 目的：探讨各种治疗方法在继发性不孕症中的治疗作用。方法：对我院2007—2009年诊治的955例继发性不孕症患者的资料进行归纳整理，分析各种治疗方案的可行性和妊娠结局。结果：①多囊卵巢综合征患者中，应用促排卵药物治疗65例，妊娠率为47.69%；腹腔镜下卵巢开窗治疗29例，妊娠率为65.52%；行体外受精-胚胎移植（IVF-ET）14例，妊娠率为57.14%。②输卵管因素导致的不孕症中，行输卵管通液治疗95例，妊娠率为33.68%；宫、腹腔镜联合下输卵管整形患者81例，妊娠率为60.49%；行IVF-ET 319例，妊娠率为39.81%。③子宫因素导致的不孕症中，月经失调行人工周期疗法94例，妊娠率为60.63%；行宫腔镜、腹腔镜或开腹手术168例，妊娠率为61.31%；行IVF-ET患者67例，妊娠率为26.87%。④不明原因继发性不孕者，23例患者行IVF-ET，妊娠率为21.74%。在所有行IVF-ET的患者中，总妊娠率为37.35%。结论：针对不同病因导致的继发性不孕症，选择合适的治疗方法，有利于妊娠率的提高。

关键词: 不孕, 女（雌）性, 多囊卵巢综合征, 输卵管阻塞, 受精, 体外, 胚胎移植

Abstract: Objective：To investigate the effect of various methods in the treatment of infertility. Methods：Summarize 955 cases of secondary infertility diagnosed in our hospital from 2007 to 2009，and analyze the various treatment methods and pregnancy outcome. Results：① In ovulation disorders patients，65 cases undergo ovulation induction therapy and the pregnancy rate was 47.69%；laparoscopic fenestration of 29 cases and the pregnancy rate was 65.52%；14 cases of in vitro fertilization and embryo transfer（IVF-ET） and the pregnancy rate was 57.14%. ② 95 cases with tubal-line treatment and the pregnancy rate was 33.68%；81 cases of tubal plastic surgery under laparoscope and the pregnancy rate was 60.49% in tubal factor infertility. ③ 94 cases with artificial cycle therapy and the pregnancy rate was 60.63%；168 cases with surgery treatment and the pregnancy rate was 61.31%；67 cases of IVF-ET and the pregnancy rate was 26.87% in uterine factor infertility. ④ 23 cases of IVF-ET in unexplained secondary infertility and the pregnancy rate was 21.74%. Total of pregnancy rate was 37.35% in IVF-ET therapy. Conclusions：The right treatment may improve the pregnancy rate for different causes of infertility.

Key words: Infertility, female, Polycystic ovary syndrome, Fallopian tube obstruction, Fertilization in vitro, Embryo transfer