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目前,不孕症的发病率在人群中呈现逐年增高的趋势,“试管婴儿”技术的开展,给不孕症夫妇带来了希望,对“试管婴儿”技术,《卫生部人类辅助生殖技术规范》有明确的适应指征,其中“输卵管因素”是重要的一条适应征。但是《规范》对“输卵管因素”具体诊断标准语焉不详。临床上,各家医院对“输卵管因素”的判定标准不一,随意性较大。故临床上常出现因“输卵管因素”而行“试管婴儿”技术,助孕未成功后自然妊娠的病例,虽然“输卵管因素”非绝对不能自然妊娠,但这也提示我们输卵管性不孕的诊断,存在值得商榷之处。本文对输卵管性不孕目前的诊断标准和手段进行回顾、梳理,目的是探讨“输卵管因素”的诊断标准,探索新的诊断方法和手段,提高临床上诊断规范的标准化,规范化。
At present, the incidence of infertility in the population showed a trend of increasing year by year, “IVF ” technology to bring hope to infertile couples, “” IVF “technology, ” Ministry of Health human Assisted reproductive technology “has a clear indication of adaptation, including” tubal factors “is an important indication. However, the ”norms“ on the ”tubal factors“ specific diagnostic criteria is not detailed. Clinically, various hospitals on the ”fallopian tube factor “ different standards, more arbitrary. It is often clinically due to ”fallopian tube factors“ and ”test-tube baby“ technology, pregnant women did not succeed in the case of natural pregnancy, although the ”fallopian tube factor" is not absolutely not natural pregnancy, but it also prompts us Tubal infertility diagnosis, there is a questionable place. This paper reviews the current diagnostic criteria and methods of tubal infertility, and aims to explore the diagnostic criteria of tubal factors, explore new diagnostic methods and methods, and improve the standardization and standardization of clinical diagnostic criteria.