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目的：探讨本地区不育夫妇的不育因素；方法：对 １９９０年以来 ６３５对资料完整的不育夫妇进行临床分析；结果发现，原发不育４３７对，占６８．８２％，继发不育１９８对，占３１．１８％，二者有显著差异（Ｐ＜０．０１）。男性原发不育因素从高到低依次是精浆异常、无精子症、精索静脉曲张；而继发不育主要是副性腺感染。精浆异常和无精子症原发不育高于继发不育（Ｐ＜０．０５），精索静脉曲张和免疫因素继发高于原发（Ｐ＜０．０５），女性原发和继发不育均以输卵管因素为主。研究结果显示，不育夫妇双方必须同步检查，尤其是男性既往有生育能力不等于现在或今后一段时期内始终保持生育能力。同时要重视生殖系统感染、性卫生、性道德与不育的关系；在不明原因的不育中还应考虑免疫不育因素。
Objective: To investigate the infertility factors of infertile couples in this area.Methods: The clinical data of 635 infertile couples with complete data since 1990 were analyzed. The results showed that 437 pairs of primary infertility accounted for 68.82% 198 pairs of education, accounting for 31.18%, a significant difference between the two (P <0.01). Male primary infertility factors from high to low followed by seminal plasma abnormalities, azoospermia, varicocele; and secondary infertility is mainly the vice gonadal infection. Seminal plasma abnormalities and azoospermia primary infertility than secondary infertility (P <0.05), varicocele and immune factors were higher than the primary (P <0.05), primary and Secondary infertility are mainly tubal factors. The results show that both infertile couples must be checked simultaneously, especially in the past male fertility is not equal to the present or future period of time to maintain fertility. At the same time, attention should be paid to the relationship between reproductive system infection, sexual health, sexual morality and infertility; and factors of immune infertility should also be considered in unexplained infertility.