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目的观察比较不明原因不孕症不同治疗方法的治疗效果。方法回顾性分析103例原因不明不孕患者进行不同治疗的治疗结果。经HMG促排卵后进行排卵监测指导同房65周期(HMG组),自然周期IUI治疗17周期(NC+IUI组),HMG促排卵后IUI治疗共237周期(HMG+IUI组)。HMG+IUI治疗1～3周期组192周期,4～6周期组45周期。比较各组的周期妊娠率。结果HMG组和HMG+IUI组两组周期妊娠率比较差异有统计学意义(χ2=3·932,P<0·05);4～6周期组的周期妊娠率较1～3周期组的周期妊娠率低(χ2=3·902,P<0·05)。结论促排卵联合IUI是治疗不明原因不孕症较为简单、有效而经济的手段。治疗3周期后妊娠率降低,可采用其他的助孕技术。
Objective To compare the therapeutic effects of different treatment methods for unexplained infertility. Methods Retrospective analysis of 103 cases of unexplained infertility patients treated with different treatment results. After HMG ovulation, ovulation monitoring was conducted in the same room with 65 cycles (HMG group), 17 cycles with natural period IUI (NC + IUI group), and 237 cycles (HMG + IUI group) with IUI after HMG ovulation induction. HMG + IUI treatment for 1 to 3 cycles of 192 cycles, 4 to 6 cycles of 45 cycles. Compare the cycle pregnancy rate of each group. Results There was significant difference in the pregnancy rates between the HMG group and the HMG + IUI group (χ2 = 3.942, P <0.05). The cycle pregnancy rates of the 4-6 groups were significantly higher than those of the 1-3 groups The pregnancy rate was low (χ2 = 3.902, P <0.05). Conclusion Ovulation combined with IUI is a relatively simple, effective and economical treatment for unexplained infertility. Pregnancy rate after 3 cycles of treatment can be reduced, you can use other pregnancy-assisted technology.