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目的分析子宫内膜异位症合并不孕患者腹腔镜术后行丈夫精液宫腔内人工授精妊娠率的影响因素。方法2005年1月到2008年12月间在汕头大学医学院第一附属医院生殖中心就诊的内异症合并不孕患者,共进行112周期人工授精治疗,将妊娠周期及未妊娠周期的术后用药情况、时间、周期数进行分析比较。结果IUI的周期妊娠率为7.14%,术后用药及未用药两组患者的妊娠率比较无统计学差异,术后1年内行人工授精的周期妊娠率高于术后1年以上者,差异有统计学意义,第1~3周期内人工授精的周期妊娠率高于4周期以上者,差异有统计学意义。结论子宫内膜异位症合并不孕患者腹腔镜术后行人工授精治疗的最佳时间是术后1年,3周期内有较高的妊娠率。
Objective To analyze the influential factors of pregnancy rate of intrauterine insemination in men undergoing laparoscopic surgery after endoscopic surgery for patients with endometriosis complicated with infertility. Methods From January 2005 to December 2008, 112 patients with endometriosis complicated with infertility treated at the Reproductive Center of the First Affiliated Hospital of Shantou University Medical College were enrolled in this study. A total of 112 cycles of artificial insemination were enrolled in this study. The gestational and non-gestational periods Medication situation, time, number of cycles for analysis and comparison. Results The pregnancy rate of IUI was 7.14%. There was no significant difference in pregnancy rate between the two groups after operation and no medication. The pregnancy rate of artificial insemination within one year after operation was higher than that of one year after operation Statistical significance, the first three cycles of artificial insemination cycle pregnancy rate higher than 4 cycles, the difference was statistically significant. Conclusion The best time of artificial insemination after laparoscopic surgery for endometriosis complicated with infertility patients is 1 year after operation and higher pregnancy rate in 3 cycles.