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目的为寻找反复供精者精液人工授精(AID)失败原因,提高辅助生殖妊娠率。方法选取2013年3月-2015年4月间在该院生殖中心自愿接受AID不孕症患者132例,经过3次及以上AID未妊娠,行宫腔镜检查。结果 132例接受宫腔镜检查患者中,检查结果正常65例,占49.24%;异常67例,占50.76%。发现子宫内膜炎占22.73%,子宫内膜息肉占12.12%,子宫畸形占4.55%,输卵管开口狭小占10.61%,输卵管开口粘连占9.09%。其中有11例合并2种病变,无1例并发症发生。宫腔镜检查术后经随访有48例妊娠,妊娠率为36.36%。结论宫腔镜检查可以准确了解不孕症患者宫腔内情况,一方面可以寻找病因,对于术中发现的问题给予及时治疗和处理,另一方面可以对应用辅助生殖技术反复失败者提出下一步治疗方案。
Objective To find out the cause of failure of repeated donor sperm artificial insemination (AID) and improve the assisted reproductive pregnancy rate. Methods From March 2013 to April 2015, 132 patients with AID infertility were selected voluntarily from the reproductive center of the hospital from March 2013 to March 2015. Hysteroscopy was performed after three or more AID non-pregnancies. Results Of the 132 patients undergoing hysteroscopy, 65 were normal, accounting for 49.24%; abnormal 67, accounting for 50.76%. Found that endometritis accounted for 22.73%, endometrial polyps accounted for 12.12%, accounting for 4.55% of uterine malformations, tubal openings accounted for 10.61% of small, tubal opening adhesions accounted for 9.09%. Among them, 11 cases combined two kinds of pathological changes without any complications. Hysteroscopy was followed up 48 cases of pregnancy, the pregnancy rate was 36.36%. Conclusion Hysteroscopy can accurately understand the situation of uterine cavity in infertility patients, on the one hand you can find the cause of the problems found in the surgery to give timely treatment and treatment, on the other hand can be applied to assisted reproductive technology, the loser of the next step Treatment programs.