山东医学高等专科学校学报
山東醫學高等專科學校學報
산동의학고등전과학교학보
JOURNAL OF SHANDONG MEDICAL COLLEGE
2014年
6期
450-454
,共5页
徐景岭%张艳丽%武传叶%肖永侠%高海华%王新民
徐景嶺%張豔麗%武傳葉%肖永俠%高海華%王新民
서경령%장염려%무전협%초영협%고해화%왕신민
不孕症%临沂市%病因构成%病因顺位
不孕癥%臨沂市%病因構成%病因順位
불잉증%림기시%병인구성%병인순위
Infertility%Linyi city%The composition of infertility causes%The sequence of infertility causes
目的：分析临沂市已婚育龄夫妇不孕症病因总体构成情况并排列病因顺位，指导不孕症病因诊断和疾病预防。方法研究2013年1月～2014年7月在临沂市妇幼保健院生殖医学中心就诊的不孕症患者病历资料。统计分析各类病因构成比，排列病因顺位。比较原发不孕和继发不孕病因构成比有何不同，分析疾病成因。结果3195对不孕夫妇中，单纯女方异常者占49．20％；单纯男方异常占15．65％；双方均异常者占17．97％。继发不孕占54．05％，多于原发不孕的45．95％。女性不孕主要病因构成及顺位依次是：输卵管及盆腔因素（36．65％）；排卵障碍（33．62％）；子宫因素（13．08％）；免疫因素（10．14％）；子宫内膜异位症（6．32％）。男性不育病因构成及顺位依次是：特发性弱精子症（7．51％）；精索静脉曲张（7．51％）；男性副性腺炎症（7．39％）；免疫学病因（5．79％）；特发性少精子症（5．23％）。原发和继发病因构成有差异。结论临沂市已婚育龄夫妇不孕症病因主要是输卵管病变，排卵障碍和男性精液质量异常。继发不孕多于原发不孕，原发不孕以排卵障碍最为常见；继发不孕首要病因应考虑输卵管因素。
目的：分析臨沂市已婚育齡伕婦不孕癥病因總體構成情況併排列病因順位，指導不孕癥病因診斷和疾病預防。方法研究2013年1月～2014年7月在臨沂市婦幼保健院生殖醫學中心就診的不孕癥患者病歷資料。統計分析各類病因構成比，排列病因順位。比較原髮不孕和繼髮不孕病因構成比有何不同，分析疾病成因。結果3195對不孕伕婦中，單純女方異常者佔49．20％；單純男方異常佔15．65％；雙方均異常者佔17．97％。繼髮不孕佔54．05％，多于原髮不孕的45．95％。女性不孕主要病因構成及順位依次是：輸卵管及盆腔因素（36．65％）；排卵障礙（33．62％）；子宮因素（13．08％）；免疫因素（10．14％）；子宮內膜異位癥（6．32％）。男性不育病因構成及順位依次是：特髮性弱精子癥（7．51％）；精索靜脈麯張（7．51％）；男性副性腺炎癥（7．39％）；免疫學病因（5．79％）；特髮性少精子癥（5．23％）。原髮和繼髮病因構成有差異。結論臨沂市已婚育齡伕婦不孕癥病因主要是輸卵管病變，排卵障礙和男性精液質量異常。繼髮不孕多于原髮不孕，原髮不孕以排卵障礙最為常見；繼髮不孕首要病因應攷慮輸卵管因素。
목적：분석림기시이혼육령부부불잉증병인총체구성정황병배렬병인순위，지도불잉증병인진단화질병예방。방법연구2013년1월～2014년7월재림기시부유보건원생식의학중심취진적불잉증환자병력자료。통계분석각류병인구성비，배렬병인순위。비교원발불잉화계발불잉병인구성비유하불동，분석질병성인。결과3195대불잉부부중，단순녀방이상자점49．20％；단순남방이상점15．65％；쌍방균이상자점17．97％。계발불잉점54．05％，다우원발불잉적45．95％。녀성불잉주요병인구성급순위의차시：수란관급분강인소（36．65％）；배란장애（33．62％）；자궁인소（13．08％）；면역인소（10．14％）；자궁내막이위증（6．32％）。남성불육병인구성급순위의차시：특발성약정자증（7．51％）；정색정맥곡장（7．51％）；남성부성선염증（7．39％）；면역학병인（5．79％）；특발성소정자증（5．23％）。원발화계발병인구성유차이。결론림기시이혼육령부부불잉증병인주요시수란관병변，배란장애화남성정액질량이상。계발불잉다우원발불잉，원발불잉이배란장애최위상견；계발불잉수요병인응고필수란관인소。
Objective To investigate the overall composition and the sequence of infertility causes of mar‐ried couples of child‐bearing age in Linyi for guiding the infertility diagnosis and disease prevention .Meth‐ods From January 2013 to July 2014 ,3195 patients of infertility in reproductive medical center of Linyi Women and Children Health Care Hospital had been set up a complete standardized diagnosis and treat‐ment medical records for investigating and analyzing .Statistical analysis and sequencing of all kinds of cau‐ses was made .Comparing the differences between the primary and secondary infertility and analyzing the causes of infertility .Results Of the 3195 infertile couples ,pure female abnormal accounted for 49 .20% ;Simple man abnormalities was 15 .65% ;Both sides was abnormal accounted for 17 .97% .Secondary infer‐tility accounted for 54 .05% ,and primary infertility was more than 45 .95% .Main causes of female infer‐tility composition and the sequence is in turn that fallopian tube and pelvic factors was 36 .65% ;Ovulation Objective To investigate the overall composition and the sequence of infertility causes of mar‐ried couples of child‐bearing age in Linyi for guiding the infertility diagnosis and disease prevention .Meth‐ods From January 2013 to July 2014 ,3195 patients of infertility in reproductive medical center of Linyi Women and Children Health Care Hospital had been set up a complete standardized diagnosis and treat‐ment medical records for investigating and analyzing .Statistical analysis and sequencing of all kinds of cau‐ses was made .Comparing the differences between the primary and secondary infertility and analyzing the causes of infertility .Results Of the 3195 infertile couples ,pure female abnormal accounted for 49 .20% ;Simple man abnormalities was 15 .65% ;Both sides was abnormal accounted for 17 .97% .Secondary infer‐tility accounted for 54 .05% ,and primary infertility was more than 45 .95% .Main causes of female infer‐tility composition and the sequence is in turn that fallopian tube and pelvic factors was 36 .65% ;Ovulation disorders was 33 .62% ;Uterine factors was 13 .08% ;Immune factors was 10 .14% ;Endometriosis was 6 . 32% .The sequence of the male infertility etiology was in turn that idiopathic weak sperm disease was 7 .51% ;Varicocele was 7 .51% ;Men's deputy sex gland inflam‐mation was 7 .39% ;Immunological etiology was 5 . 79% );Sperm idiopathic was 5 .23% .There are differences between the primary and secondary infertility . Conclusion The infertility etiology of married couples of child‐bearing age in Linyi was mainly for Fallopian tube factors ,abnormal ovulation and male semen quality .Secondary infertility patients are more than that of primary infertility .The primary infertility was mainly for ovulation disorders and Secondary infertility are mainly for fallopian tube diseases .
