CAJ | 학술논문

目的：探讨注入前向运动精子总数对丈夫精液宫腔内人工授精（IUI）临床妊娠率的影响。方法回顾分析2010年4月至2013年4月在该院行IUI助孕治疗的不孕症夫妇131例患者，229个IUI周期，按宫腔内注入前向运动精子数（PTMS）分为5组：A组（＜5×106），B组（5×106～＜10×106），C组（10×106～＜20×106），D组（20×106～＜30×106），E组（≥30×106），比较组间临床妊娠率。结果131例患者IUI治疗，临床妊娠率为26．72％，229个周期，周期临床妊娠率为15．28％。周期临床妊娠率分别为A组23．08％、B组15％、C组18．18％、D组13．46％、E组13．48％。各组间差异无统计学意义（P＞0．05）。
목적：탐토주입전향운동정자총수대장부정액궁강내인공수정（IUI）림상임신솔적영향。방법회고분석2010년4월지2013년4월재해원행IUI조잉치료적불잉증부부131례환자，229개IUI주기，안궁강내주입전향운동정자수（PTMS）분위5조：A조（＜5×106），B조（5×106～＜10×106），C조（10×106～＜20×106），D조（20×106～＜30×106），E조（≥30×106），비교조간림상임신솔。결과131례환자IUI치료，림상임신솔위26．72％，229개주기，주기림상임신솔위15．28％。주기림상임신솔분별위A조23．08％、B조15％、C조18．18％、D조13．46％、E조13．48％。각조간차이무통계학의의（P＞0．05）。
Objective To investigate the influence of processed total motile sperm (PTMS) count of husband on clinical pregnan-cy rate of intrauterine insemination(IUI) .Methods We retrospectively analyzed a total of 229 cycles of IUI among 131 patients in our hospital during the past three years .The cycles were divided into 5 groups according to the PTMS count :group A(<5 × 106 ) , group B(5 × 106 - <10 × 106 ) ,group C(10 × 106 - <20 × 106 ) ,group D(20 × 106 - <30 × 106 ) ,group E(≥30 × 106 ) .The clinical pregnancy rates among different groups were compared .Results The clinical pregnancy rates among 131 patients of IUI was 26 .72% .The clinical pregnancy rates among 229 cycles of IUI was 15 .28% .The clinical pregnancy rate of group A was 23 .08% , the clinical pregnancy rate of group B was 15% ,the clinical pregnancy rate of group C was 18 .18% ,the clinical pregnancy rate of group D was 13 .46% ,the clinical pregnancy rate of group E was 13 .48% .There was no significant difference(P>0 .05) among five groups .Conclusion Ideal clinical pregnancy can be achieved when the PTMS count is between 3 × 106 and 5 × 106 .