女性不育的病因和预后

Causes and prognosis of female infertility

分析了1986年2月至1988年2月我院女性不育门诊诊治的1 024例不育患者的病因与预后。器质性病因占40.3％,以炎症与结核为最多见:内分泌病因占38.3％,以多囊性卵巢综合征最常见。内分泌病因预后较好,治疗后妊娠率可达51.1％;器质性病因治疗后妊娠率为34.7％,其预后与输卵管受损程度有关。87.7％的妊娠发生在检查或治疗6个月内,因此合理安排检查计划以查清病因,不失时机地采取针对性治疗,可取得较好疗效。

The causes and prognosis of 1024 infertile women investigated and treated in the female infertile clinic from February 1986 to February 1988 were evaluat- ed.Organic causes were found in 40.3%,among which inflammatory disease and tuberculosis were most frequent.Endocrine causes in 38.30%,polycystic ovary syndrome was most common.In women with endocrine causes the pregnancy rate was 51.1%; while that with organic causes,the pregnancy rate was 34.7%,the prognosis was strongly related with the severity of the damage of fallopian tubes.Most pregnancies(87.7%) occurred within 6 months after investigation and treatment.Therefore,a planned in- vestigation and appropriate treatment can improve prognosis.Prevention of pelvic inflammation and tu- berculosis is the most important strategy for preven- tion of infertility.