继发性不孕症治疗方法的选择及妊娠结局分析

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.%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% jlaparoscopic 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. ④23 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.