输卵管腹腔镜术后宫腔内人工授精的研究

The research of intrauterine insemination after tubal laparoscopic surgery

目的研究不孕患者输卵管腹腔镜术后宫腔内人工授精(1UI)的临床结局。方法回顾性分析,男方均为少弱精子症行IUI的中262个周期,其中女方因双侧输卵管通而不畅行腹腔镜术50个IUl周期,未行手术的双侧输卵管通而不畅132个IUI周期和单侧输卵管通畅80个周期。比较各组平均周期IUl的妊娠率和累积妊娠率。结果腹腔镜术后组平均周期妊娠率及累计妊娠率均高于双侧通而不畅组和单侧通畅组(16.0%v8.3%v7.5%),(24.2%v13.4%v12.7%),而双侧通而不畅组和单侧通畅组相似。结论男方少弱精子症,女方双侧输卵管通而不畅患者选择腹腔镜术后再行IUI术,获得较满意的临床妊娠率。

Objective： To investigate the clinical outcomes of intrauterine insemination（1UI） after tubal laparoscopic surgery.Methods： The retrospective study consisted of 262 IUI cycles with male subfertility treated（less asthenospermia）.This cycles were divided into three groups：（A） Bilateral tubal problem after tubal laparoscopic surgery group（n = 50）;（B） Bilateral tubal problem did not surgery group（n = 132）;and（C） unilateral tubal potent group（n = 80）.The pregnancy rate and cumulative pregnancy rate of each group were compared.Results： The average cycle pregnancy rate and cumulative pregnancy rate of group A is higher than the group B and group C（16.0% v8.3% v7.5%）（24.2% v13.4% v12.7%）,and that in the group B and group C was similar.Conclusion： Male with less asthenospermia,the woman that bilateral tubal problem by the laparoscopic surgery,can achieve satisfactory clinical pregnancy rate of IUI.