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目的研究不孕患者输卵管腹腔镜术后宫腔内人工授精(1UI)的临床结局。方法回顾性分析,男方均为少弱精子症行IUI的中262个周期,其中女方因双侧输卵管通而不畅行腹腔镜术50个IUl周期,未行手术的双侧输卵管通而不畅132个IUI周期和单侧输卵管通畅80个周期。比较各组平均周期IUl的妊娠率和累积妊娠率。结果腹腔镜术后组平均周期妊娠率及累计妊娠率均高于双侧通而不畅组和单侧通畅组(16.0%v8.3%v7.5%),(24.2%v13.4%v12.7%),而双侧通而不畅组和单侧通畅组相似。结论男方少弱精子症,女方双侧输卵管通而不畅患者选择腹腔镜术后再行IUI术,获得较满意的临床妊娠率。
Objective To study the clinical outcomes of intrauterine insemination (1UI) after laparoscopic tubal surgery in infertility patients. Methods Retrospective analysis, the men were less weak spermatic IUI in 262 cycles, including the woman due to bilateral tubal and laparoscopic laparoscopic 50 IUl cycle, the operation of the bilateral tubal and poor 132 IUI cycle and unilateral tubal patency 80 cycles. The average pregnancy rate and cumulative pregnancy rate of IUl in each group were compared. Results The mean pregnancy rate and cumulative pregnancy rate after laparoscopic surgery were significantly higher than those in patients with bilateral unobstructive and unilateral unilateral patency (16.0% v8.3% v7.5%) (24.2% v13.4% v12 .7%), while bilateral unobstructed group and unilateral unobstructed group similar. Conclusions Male patients with oligozoospermia and female patients with bilateral tubal obstruction should choose IUP after laparoscopic surgery to obtain more satisfactory clinical pregnancy rate.