635对不育夫妇不育因素临床分析

Clinical Analsis on 635 Couples of Infertility

目的：探讨本地区不育夫妇的不育因素；方法：对 １９９０年以来 ６３５对资料完整的不育夫妇进行临床分析；结果发现，原发不育４３７对，占６８．８２％，继发不育１９８对，占３１．１８％，二者有显著差异（Ｐ＜０．０１）。男性原发不育因素从高到低依次是精浆异常、无精子症、精索静脉曲张；而继发不育主要是副性腺感染。精浆异常和无精子症原发不育高于继发不育（Ｐ＜０．０５），精索静脉曲张和免疫因素继发高于原发（Ｐ＜０．０５），女性原发和继发不育均以输卵管因素为主。研究结果显示，不育夫妇双方必须同步检查，尤其是男性既往有生育能力不等于现在或今后一段时期内始终保持生育能力。同时要重视生殖系统感染、性卫生、性道德与不育的关系；在不明原因的不育中还应考虑免疫不育因素。

Objective: To find the infertility factors of 635 couples in Enshi region Method: Clinical analyses were made on infertile couples found since 1990 Result: There were 437 cases of primary infertility and 198 cases of secondary infertility. The former which took up 68. 82 Percent was higher then the latter which took up 31. 18 Percent (P < 0.01 ). The main factors of primary male infertility in order of importance were abnormal semen, azoospermia and varicocle while of secondary male infertility paragonad infection. Abnormal semen and acoospermia played a larger role in primary infertility than in secondary infertility (P < 0. 05) while varicocle and immune factor played a larger role in secondary infertility than in primary infertility (P < 0. 05) with paragondad infection higher in secondary infertility than in primary infertility (P < 0. 01 ). The main factor of both female primary and secondary infertility was oviduct. Conclusion: Simultaneous examination should be carried out on both male and female. The fact that the male had fertility do not necessarily lead to the conclusion that he will has it now or in the future. Attention should be Paid on the relationship between infertility and genital system infection, sex hygiene or sex morality.