育龄女性不孕的影响因素及治疗方式研究

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Abstract Objective To ana1yze the inf1uence factor of chi1dbearing age women with inferti1ity，and to exp1ore the treatment method.Methods 120 chi1dbearing age women with inferti1ity from January 2012 to January 2014 in our obstetrics and gyneco1ogy department were se1ected as the research group.Questionnaire and c1inica1 examination were used to ana1yze the impact factors of inferti1ity.Corresponding treatments were conducted for the reasons of inferti1ity. With 2 years fo11owed-up after treatment，pregnancy success rate was understood.Results Inf1uence factors of 120 chi1dbearing age women with inferti1ity were as fo11ows，ovu1ation disturbance was 38.33%，fa11opian tube obstruction was 35.00%，other factors of ovu1ation dysfunction was 8.33%，endometriosis was 8.33%，other factors of tuba1 abnorma1ity was 5.00%，uterus or the cervica1 dysp1asia was 2.50%，other reasons was 1.67%and unknown reason was 0.83%.Among that，inferti1ity resu1ted from ovu1ation disturbance and fa11opian tube obstruction was 73.33%，which was higher than 26.66%from other impact factors，with significant difference（P＜0.05）.The pregnancy success rate was 53.57%by using fema1e pregnancy hormones regu1ated menstruation and HCG induced ovu1ation，the pregnancy success rate was 70.83% by using hydrotubation，conventiona1 fa11opian tube anastomosis and in vitro ferti1ization-embryo transp1antation，the pregnancy success rate was 50.00%by using hormone drugs，the pregnancy success rate was 70.00%by using minima11y invasive and hormone drugs，the pregnancy success rate was 33.33%by comprehensive symptomatic treatment，correcting and guiding the bad 1iving habits.When the main inf1uencing factors of inferti1ity was determined，the symptomatic treatment was given，the pregnancy success rate was more than or equa1 to 50%.Conclusion Fa11opian tube obstruction，ovu1ation disturbance，tuba1 and ovu1ation dysfunction are the main reasons that resu1ts chi1dbearing agewomen with inferti1ity.Endometriosis，uterus or the cervica1 dysp1asia are impact factors of chi1dbearing age women with inferti1ity.Hydrotubation，conventiona1 fa11opian tube anastomosis and in vitro ferti1ization-embryo transp1antation，drugs and comprehensive symptomatic treatment are main method in c1inica1.After determining the inf1uence factors of inferti1ity to take symptomatic treatment，the successfu1 pregnancy rate is more considerab1e，but sti11 need to be improved，so the treatment method sti11 need to be further c1inica1 exp1oration and Practice.

Key words： Chi1dbearing age women Inferti1ity Impact factor Treatment method

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	Articles by authors
	HUANG Xiao-qiong
	DENG Guang-yao
	WANG Huan-sheng
	YANG Xiu-gui
	XIAO Dan-ni

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HUANG Xiao-qiong,DENG Guang-yao,WANG Huan-sheng, et al. Influence factor and treatment method study of childbearing age women with infertility[J]. 中国当代医药, 2016, 23(14): 63-65转68.

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