作　　者： (罗小琼）; (凌燕兰）; (罗小花）; (李小妹）; (韦敬锡）; (覃莉）;

机构地区： 右江民族医学院附属医院生殖中心,百色533000

出　　处： 《右江医学》 2017年第4期483-486,共4页

摘　　要： 目的分析女性不孕症相关病因及分布情况,为早期预防、诊疗提供参考。方法回顾分析1834例女性不孕症的相关临床资料,并对其进行统计学分析。结果女性不孕病因中,输卵管因素占第一位(29.06%),排卵因素占第二位(21.05%),子宫因素居第三位(18.97%),阴道疾病居第四位(12.60%),而宫颈因素、免疫因素、不明原因所占的比例均较小,依次为5.56%、7.09%和5.67%。原发性和继发性病因比较差异有统计学意义(χ2=167.062,P<0.001),继发性病因占比例大。结论女性不孕症发病病因复杂多样,输卵管阻塞是女性不孕的重要原因,临床应详细诊疗、理清主次采用针对性治疗措施,在进行盆腔、宫腔手术操作的时候也应积极早期预防,以降低女性不孕症的发病率。 Objective To analyze the etiology and distribution of female iniertility,so as to provide reference for early prevention and treatment.Methods The clinical data of 1834 cases of female infertility were retrospectively and statistically analyzed.Results Among the causes of female iniertility,tubal factor accounted for the first（29.06%）,ovulation factors ac-counted for the second（21.05%）,uterine factors ranked third（ 18.97%）,vaginal disease ranked fourth（ 12.60%）.However, the proportion of cervical factors,immune factors and unknow-n causes was small,was 5.56%, 7 . 0 9 % and 5 . 6 7 %, respectively. Difference between primary and secondary causes was statistically significant （χ^2 =167 . 062,P 〈0 . 001 ） . Conclusion The e-tiology of female infertility is complex and diverse.Fallopian tube obstruction is an important cause of it.Clinical diagnosis and treatment should be performed with clear priorities and specific treatment.At the same time,early prevention measures should be taken to reduce the incidence of female infertility during the operation of pelvic cavity and intrauterine surgery.

关 键 词： 女性 不孕症 病因 生殖健康