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目的选择215周期的宫腔内人工授精病例进行临床疗效分析。方法回顾性分析2004年1月-2006年12月在我院接受宫腔内人工授精助孕治疗的166例妇女215周期的临床资料。结果采用自然周期人工授精和促排卵周期人工授精相比,后者的妊娠率明显高于前者,差异有统计学意义(P<0·05);而且促排卵周期的多胎妊娠率并没有升高。3次宫腔内人工授精累积妊娠率可达18·67%(31/166),但是人工授精的周期成功率并没有随着次数的增加而明显增加,周期妊娠率并没有统计学意义(P>0·05)。结论采用促排卵周期进行人工授精可以增加妊娠率,如果3个周期人工授精并没有妊娠,建议尽早转试管婴儿助孕治疗。
Objective To select 215 cycles intrauterine insemination cases for clinical efficacy analysis. Methods A retrospective analysis of clinical data of 166 women with 215 cycles of intrauterine insemination in our hospital from January 2004 to December 2006 was performed. Results Compared with artificial insemination and ovulation cycles, the pregnancy rate of the latter was significantly higher than that of the former (P <0.05), and the multiple pregnancy rate in the ovulation induction period did not increase . The intrauterine insemination cumulative pregnancy rate was 18.67% (31/166) in 3 times, but the success rate of artificial insemination did not increase with the number of times, but the pregnancy rate was not statistically significant (P > 0 · 05). Conclusion The artificial ovulation cycle with ovulation induction can increase the pregnancy rate. If there is no pregnancy in three cycles of artificial insemination, it is advisable to transfer the IVF to pregnancy as soon as possible.