引用本文:王世凯,黄 莉,覃 捷,何 冰,成俊萍,薛林涛,陆建柳,玉 冰.精液处理前后精液参数对夫精人工授精妊娠结局的影响[J].中国临床新医学,2014,7(3):191-194.
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精液处理前后精液参数对夫精人工授精妊娠结局的影响
王世凯,黄 莉,覃 捷,何 冰,成俊萍,薛林涛,陆建柳,玉 冰
530021 南宁,广西壮族自治区人民医院生殖医学与遗传中心
摘要:
[摘要] 目的 探讨精液处理前、后精液参数对以男性因素为主的宫腔内人工授精(IUI)妊娠结局的影响。方法 回顾性分析530个以男性因素为适应证在我中心接受IUI治疗的临床资料,按处理前、后的精子前向运动数和精子回收率进行分组,比较各组临床妊娠率。结果 (1)根据处理前前向运动数分成三组:<20×106/ml组、>20~<100×106/ml组和≥100×106/ml组,各组周期临床妊娠率分别为10.08%、12.79%和12.50%,各组妊娠率比较差异无统计学意义(P>0.05);(2)根据处理后前向运动数分成三组:<10×106/ml组、>10~<20×106/ml组和≥20×106/ml组,各组周期临床妊娠率分别为8.42%、10.59%和12.57%,各组妊娠率比较差异无统计学意义(P>0.05);(3)根据处理后精子回收率分成两组:<25%组和≥25%组,两组周期临床妊娠率分别为10.45%和12.76%,两组妊娠率比较差异无统计学意义(P>0.05)。结论 IUI的妊娠率随着精液处理前、后前向运动精子数和精子回收率的升高逐渐提高,但差异无统计学意义。
关键词:  宫腔内人工授精  精液参数  回收率  前向运动精子
DOI:10.3969/j.issn.1674-3806.2014.03.03
分类号:R 711.6
基金项目:广西卫生厅科研课题(编号:Z2013343)
The influence of non-processed semen parameters and processed semen parameters on pregnancy outcome of husband sperm intrauterine insemination
WANG Shi-kai,HUANG Li,QIN Jie,et al.
Reproductive and Genetic Center, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021,China
Abstract:
[Abstract] Objective To assess the effect of non-processed sperm parameters and processed sperm parameters on pregnancy outcome of husband sperm of intrauterine insemination(IUI).Methods A retrospective study was performed on 530 IUI cycles in our center. The cycles were divided in to 3 groups according to the processed(or non-processed) progressive motile sperm count or sperm recovery rate. The clinical pregnancy rates among different groups were compared.Results (1)According to the non-processed progressive motile sperm count, the cycles were divided into 3 groups:<20×106/ml, >20~<100×106/ml and ≥100×106/ml, the clinical pregnancy rates were 10.08%, 12.79% and 12.50% respectively, there were no significant differences among 3 groups(P>0.05); (2)According to the processed progressive motile sperm count the cycles were divided into 3 groups:<10×106/ml, >10~<20×106/ml and ≥20×106/ml, the clinical pregnancy rates were 8.42%, 10.59% and 12.57% respectively, there were no significant differences among 3 groups(P>0.05); (3)According to sperm recovery rate, the cycles were divided into 2 groups: <25% and ≥25%, the clinical pregnancy rates were 10.45% and 12.57% respectively, there were no significant differences between two groups(P>0.05).Conclusion With the increase of non-processed or processed progressive motile sperm count and sperm recovery rates, the IUI pregnancy rates gradually increase, but there were no statistically difference.
Key words:  Intrauterine insemination(IUI)  Semen parameters  Recovery rate  Progressive motile sperm