宫腔内夫精人工授精与成功妊娠分析

目的：探讨宫腔内夫精人工授精（IUI）妊娠的影响因素,提高成功妊娠率.方法：比较IUI治疗69对夫妇,共139个周期的临床资料,分析促排卵周期、排卵数及不同适应症与妊娠率的关系.结果：（1）自然周期妊娠率17.2％,高于促排卵周期妊娠率12.5％,差异有统计学意义（P＜0.05）.（2）排卵2个的妊娠率较排卵1个者妊娠率高.（3）44例男方精液异常,妊娠率16.2％;18例女方排卵障碍,妊娠率10.3％,两者妊娠率差异有统计学意义（P＜0.05）.结论：IUI最佳适应症为男方因素引起的不孕,且自然周期妊娠成功率较高.

Intrauterine insemination and successful pregnancy analysis

Objective： To investigate the intrauterine insemination （IUI） impact factors of pregnancy and improve the success rate of pregnancy. Methods： Comparison of IUI treatment 69 couples a total of 139 cycle clinical data, analyzed the relationship of ovulation period, the number of ovulation and different adaptation disease and pregnancy rate. Results： （1） The pregnancy rate of natural cycle 17.2%, was higher than that of ovulation induction cycle with 12.5G, which was significant differences （P〈0.05）. （2） The pregnancy rate of ovulation 2 was higher than that of ovulation 1. （3） Pregnancy rate was 16.2% for 44 cases of semen abnormalities,10.3% for 18 cases of the ovu lation obstacle, which was statistical difference（P〈0.05）. Conclusion： IUI is best fit for male in fertility, and the high success rate of pregnancy. IUI is the best fit for male factor infertility, and natural cycle pregnancy rate is highter.