| 原发性不孕症与继发性不孕症受精率的比较分析 |
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| 引用本文： | 陈大霞,雷小敏. 原发性不孕症与继发性不孕症受精率的比较分析[J]. 现代预防医学, 2016, 0(3): 446-448 |
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| 作者姓名： | 陈大霞 雷小敏 |
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| 作者单位： | 宜昌三峡大学仁和医院生殖医学中心，湖北 宜昌 443000 |
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| 摘 要： | 摘要:比较原发性与继发性不孕症患者行常规体外受精-胚胎移植术（IVF-ET）的受精率差异，为今后选择合适的治疗方式提供参考。方法 （1）将行IVF-ET的患者分为原发性不孕症组和继发性不孕症组，比较两者的受精率差异；（2）按照精液的正常与否、不孕年限的长短及在不同疾病中的表现，比较两者的统计学差异。结果 （1）所有分组均提示原发性不孕症组和继发性不孕症组比较两者在MII形成率和受精率上无统计学差异（P＞0.05）；（2）精液检查正常组与异常组比较受精率有统计学差异（P＜0.01）。结论 （1）原发性不孕症本身不是受精障碍的影响因素，弱精子症是影响受精的主要因素；（2）对于原发性不孕症、不孕年限长、弱精的患者仍有自然受精的机会，可行短时受精，建议不要盲目扩大人卵胞浆内单精子显微注射技术（ICSI）的指征。
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| 关 键 词： | 关键词:原发性不孕症 继发性不孕症 受精率 |
Differences in fertilization rate of vitro fertilization-embryo transfer (IVF-ET) of primary infertility patients and secondary infertility patients |
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| CHEN Da-xia,LEI Xiao-min. Differences in fertilization rate of vitro fertilization-embryo transfer (IVF-ET) of primary infertility patients and secondary infertility patients[J]. Modern Preventive Medicine, 2016, 0(3): 446-448 |
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| Authors: | CHEN Da-xia LEI Xiao-min |
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| Affiliation: | Three Gorges University Renhe Hospital Center for Reproductive Medicine, Yichang, Hubei 443000, China |
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| Abstract: | Abstract: Objective To provide a reference for the right treatment in practice in the future. Methods (1) IVF-ET patients were divided into primary infertility group and secondary infertility group, and the differences in fertilization rate were compered; (2) The statistical differences were compered in accordance with condition of the semen, the length of the duration of infertility and its different symptoms in different diastases. Results (1) There were no significant difference (P fertilization rate > 0.05) in all primary infertility group and secondary infertility group (P<0.05) in the MII formation and fertilization rate. (2) The difference between normal semen group and abnormal semen group in fertilization rate had a statistically significance (P<0.01). Conclusion The primary infertility itself was not the main factor affecting fertilization. Patients with primary infertility, with long duration of infertility, or with weak sperm still have opportunities of natural fertilization and short-term fertilization. Therefore it was recommended not to blindly expand the indication for ICSI. |
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| Keywords: | Keywords: Primary Infertility Secondary Infertility Fertilization Rate |
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