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长期以来,不管是官腔内受精还是宫颈受精一直用于治疗不育症(AIH 或AID).随着监测排卵、精子处理及受精技术的进展,人工受精的成功率已有提高.为了加强精子的获能,改善其形态质量,去除精液中的渣屑,可将精液洗涤,还可进行更复杂的处理如精子上游法.但是究竟哪一种技术能提高妊娠率尚不十分清楚.为此,本文作者试图通过一随机治疗方案,评价洗涤精子和洗涤后上游精子,宫腔内受精和宫颈受精妊娠率的差异.作者制订了随机治疗4个周期的方案。即洗涤精子宫颈受精;洗涤上游精子宫颈受精;洗涤精子宫腔内受精;洗涤上游精子宫腔内受精.完成4周期治疗的共63例.患者宫颈粘液-精子相容试验正常。应
For a long time, intrauterine insemination or cervical fertilization has been used to treat infertility (AIH or AID) .With the monitoring of ovulation, sperm handling and fertilization technology, the success rate of artificial insemination has been increased.In order to strengthen the sperm Get energy, improve its morphological quality, remove the sperm in the debris, the semen can be washed, but also for more sophisticated treatment such as sperm upstream method.But what kind of technology can improve the pregnancy rate is not yet very clear.To this end, The authors attempted to evaluate the differences in pregnancy rates between sperm washing and upstream sperm washing, intrauterine insemination and cervical insemination by a randomized treatment protocol, and the authors developed a protocol for randomized treatment of four cycles. Namely, washing spermatozoon cervix fertilization; washing sperm upstream of the cervix fertilization; washing sperm intrauterine fertilization; washing upstream sperm intrauterine fertilization .A total of 4 cycles completed a total of 63 patients with cervical mucus-sperm compatibility test was normal. should