摘要
目的分析保留动脉Palomo术对夫精宫腔内人工授精(AIH)妊娠结局的影响。方法收集2012年9月至2015年1月在本院辅助生殖中心门诊就诊的60对不孕不育夫妇为研究对象,共127个AIH周期。根据男方是否行保留动脉Palomo术分为手术组及观察组:手术组,29对夫妻(59个周期);观察组,31对夫妻(68个周期)。观察精索静脉曲张患者行保留动脉Palomo术后精液质量变化情况,比较两组患者AIH妊娠结局。结果手术组患者行保留动脉Palomo术后,精子浓度、存活率、前向运动精子百分率均显著高于手术前(P<0.05)。手术组共13对夫妻获得临床妊娠,观察组8对夫妻获得临床妊娠;手术组的周期妊娠率(22.03%vs.11.76%)及累计妊娠率均显著高于观察组(44.83%vs.25.81%)(P<0.05)。结论保留动脉Palomo术可以改善精索静脉曲张患者的精液质量,提高AIH妊娠率。
Objective:To analyze the influence of the outcome of artificial insemination with husband sperm(AIH)after Palomo varicoceletomy with preserving artery.Methods:A total of 127 AIH cycles of 60 infertile couples in our hospital from September 2012 to January 2015 were included in the study.According to whether the male patients underwent Palomo varicoceletomy with preserving artery,they were divided into operation group(29 couples/59 cycles)and observation group(31 couples/68 cycles).The changes of semen quality in patients with varicocele after operation were observed,and the pregnancy outcomes of AIH were compared between the two groups.Results:The sperm concentration,survival rate and percentage of forward motile sperm after operation were significantly higher than those before operation in operation group(P<0.05).Thirteen couples got clinical pregnancy in the operation group,while 8 couples got clinical pregnancy in the observation group.The pregnancy rate per cycle(22.03%vs.11.76%)and cumulative pregnancy rate(44.83%vs.25.81%)in operation group were significantly higher than observation group(P<0.05).Conclusions:The Palomo varicoceletomy with preserving artery can improve semen quality,and increase AIH pregnancy rate in patients with varicocele.
作者
李焕
邓浩
赵军
马文敏
LI Huan;DENG Hao;ZHAO Jun;MA Wen-min(Assisted Reproductive Technology Center,Foshan Maternal & Children Health Hospital,Southern Medical University,Foshan 528000)
出处
《生殖医学杂志》
CAS
2019年第8期911-914,共4页
Journal of Reproductive Medicine
关键词
精索静脉曲张
不育
人工授精
妊娠率
Varicocele
Infertility
Intrauterine insemination
Pregnancy rate
