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目的分析女性不孕症的主要病因分布,以降低不孕症发病率。方法对437例女性不孕患者临床资料进行回顾性分析。结果原发不孕占36.16%,继发不孕占63.84%,继发性不孕年龄偏大,不孕年限较长,平均年龄34.4±3.2岁,平均不孕年限6.8±1.1 a;输卵管因素占57.89%,其中炎症导致的输卵管阻塞占49.2%;排卵障碍占31.81%,其中多囊卵巢综合症占24.26%;不明原因占3.66%。结论以继发不孕为主,提高继发不孕患者对不孕症的重视;输卵管因素是造成女性不孕的首要因素,以炎症导致输卵管病变为主,应积极治疗生殖道炎症;排卵障碍占不孕病因的第2位,以多囊卵巢综合症为主,予以重视;原因不明的不孕呈下降趋势。
Objective To analyze the main causes of infertility in women to reduce the incidence of infertility. Methods The clinical data of 437 female infertility patients were retrospectively analyzed. Results Primary infertility accounted for 36.16%, secondary infertility accounted for 63.84%, secondary infertility age is too large, longer duration of infertility, the average age of 34.4 ± 3.2 years, the average duration of infertility 6.8 ± 1.1 a; tubal factors Accounting for 57.89%, including tubal obstruction caused by inflammation accounted for 49.2%; ovulation disorders accounted for 31.81%, of which polycystic ovary syndrome accounted for 24.26%; unexplained accounted for 3.66%. Conclusion The main reason of secondary infertility, to improve the infertility patients with secondary infertility attention; tubal factors are the primary cause of infertility in women, with inflammation leading to tubal disease should be actively treated reproductive tract inflammation; ovulation disorders The cause of infertility No. 2, mainly to polycystic ovary syndrome, to be taken seriously; unexplained infertility showed a downward trend.