对宫颈因素男性因素及特发性不孕夫妇宫内授精妊娠的生命表分析

来源 :国外医学(计划生育分册) | 被引量 : 0次 | 上传用户:xing3653
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宫内授精(IUI)已被用于治疗宫颈因素、男性因素和特发性不孕(idiopathic infertility)。很多不孕中心推荐在给予较为严格和耗资的方法如试管内体外授精(IVF)或配子输卵管移植(GIFI)前,对上述不孕夫妇进行IUI。本文用生命表分析说明给予IUI周期最为适宜的问题。 1986年11月至1989年11月间231对夫妇共进行762个IUI周期。受试夫妇至少有一年不孕史,经不孕评估包括盧用黄体期黄体酮浓度>5ng/ml或子宫内膜活检显示分泌期宫内膜确定排卵,月经中期性交后4~12小时最少做二次性交后试验(PCTs),子宫输卵管造影术至少显示一侧输卵管未闭,在接受IUI以前,76%的妇女做过腹腔镜。 91对夫妇至少有2次经PC7诊断为宫颈因素; Intrauterine insemination (IUI) has been used to treat cervical factors, male factors and idiopathic infertility. Many infertility centers recommend that IUI be performed on these infertile couples prior to more stringent and costly methods such as in vitro fertilization (IVF) or gamete fallopian tube transplantation (GIFI). This article uses life table analysis to illustrate the most appropriate questions for giving IUI cycles. Between November 1986 and November 1989, 231 couples performed 762 IUI cycles. The test couples at least one year history of infertility, assessment of infertility, including l Lu progesterone luteal phase concentration of> 5ng / ml or endometrial biopsy to determine the secretion of endometrial ovulation, menstrual intercourse at least 4 to 12 hours after intercourse Second sexual intercourse tests (PCTs), hysterosalpingography showed at least one tubal patent and 76% of women underwent laparoscopy before receiving IUI. 91 couples at least 2 times by PC7 diagnosis of cervical factors;
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