摘要
目的:分析影响供精人工授精成功率的相关因素。方法:回顾性分析2007年4月～2008年4月期间在该院行供精人工授精(artificial insemination with donor semen AID)的840例妇女,共1 478个周期。分析年龄、输卵管通畅情况、子宫内膜类型、AID手术方式与AID成功率的关系。结果:①年龄越大,AID成功率越低,大于35岁的不孕妇女AID成功率明显下降。②输卵管欠畅,AID)成功率明显下降。③子宫内膜A型的病例AID成功率高于其他类型的病例。④宫颈内和宫腔内人工授精的成功率差异无统计学意义(P>0.05)。结论:不孕妇女的年龄、输卵管治疗史及子宫内摸类型是影响AID治疗成功率的重要因素,在无宫颈因素的妇女中,宫颈内人工授精较宫腔内人工授精操作更简便,成本低,且成功率相似,应该考虑首选宫颈内人工授精。
Objective： To analyze the related effect factors of success rate of artificial insemination with donor semen. Methods ： A total of 840 women （1 478 cycles） who received artificial insemination with donor semen （AID） in the hospital from April 2007 to April 2008 were analyzed retrospectively. The relationship between their age, unobstruction of fallopian tube, types of endometrium, surgical modes of AID and the success rate of AID was analyzed. Results ： The older the age was, the lower the success rate was, the success rate of infertile women more than 35 years decreased significantly. The success rate of AID decreased obviously among the women with obstructed fallopian tube. The success rate of AID among the women with type A endometrium was higher than those with the other types of endometriurn. There was no significant difference in the success rate between cervical insemination and uterine cavity insemination （P 〉 0. 05 ） . Conclusion ： Age, prior treatment of fallopian tube, and the types of endometrium are the important effect factors of success rate of AID ; among the women without cervical factors, compared with artificial insemination of uterine cavity, cervical artificial insemination is more simple, inexpensive, and their success rates are similar, so cervical artificial insemination is the first consideration.
出处
《中国妇幼保健》
CAS
北大核心
2012年第4期582-584,共3页
Maternal and Child Health Care of China
关键词
供精人工授精
成功率
影响因素
Artificial insemination with donor semen
Success rate
Effect factor
