宫腹腔镜联合术诊治输卵管性不孕症的疗效分析

目的探讨宫腹腔镜联合手术在输卵管性不孕症诊治中的应用价值。方法将经子宫输卵管碘油造影（HSG）诊断为输卵管性不孕的116例患者,其中观察组58例进行宫腹腔镜联合治疗,对照组58例进行介入治疗;2组患者年龄、间质部、峡部、远端梗阻的输卵管条数等均无统计学差异,对其资料进行回顾性分析。结果宫腹腔镜联合组术后输卵管通畅及宫内妊娠情况均显著优于介入治疗组（P〈0.05）。多因素分析表明输卵管黏膜异常显影、通畅度及其柔软度是影响预后的主要因素。结论联合宫腹腔镜治疗能明显提高输卵管通畅及宫内受孕率,术前输卵管功能评价能为选择个体化治疗方案提供客观依据。     

Disciplining cattle reproduction: Veterinary reproductive science,bull infertility,and the mid-twentieth century transformation of Swedish dairy cattle breeding

From the 1940s, reproductive physiology and livestock genetics transformed dairy cattle breeding and became, in conjunction with the new reproductive technology of artificial insemination, important drivers of agricultural modernization in most countries with significant dairying. While this is well known, we know less about the longer-term interplay between specifically veterinary interests in reproduction and the institutional development of cattle breeding. In the present paper, I therefore examine the veterinary disciplining of cattle reproduction—its constitution as a veterinary scientific discipline and the extension of veterinary control over it—in mid-twentieth century Sweden. I show how veterinary scientists derived legitimacy for their fledgling discipline by engaging with the problems of practical breeding, and that in doing so they also exercised influence over breeding’s development. By making bulls’ reproductive disturbances visible and framing them as hereditary, they undermined the conservative interests of commercial breeders. The development of veterinary reproductive science thereby played an important role in reshaping the culture, economy, and regulations of cattle breeding in Sweden as it shifted from a prewar regime dominated by elite breeders to a postwar regime that, ostensibly, served all dairy farmers in the country.     

输卵管性不孕症的综合治疗

女性不孕症最常见的原因是输卵管因素所导致的.对输卵管性不孕症的57例输卵管通而不畅者进行了综合治疗,即输卵管通液术+电脑仿生治疗.结果表明应用甲硝唑通液者治疗周期明显缩短(P<0.001).     

改良夫精人工授精技术治疗不育症69例

目的:探讨改良夫精人工授精技术(AIH)对提高不育症患者临床妊娠率的影响。方法:回顾我科2002年9月至今采用改良AIH治疗不育症76周期,成功率与国内平均成功率进行对比分析。结果:经过改良后AIH临床妊娠率为22.4%,国内平均成功率为14.5%,经χ2检验具有非常显著性差异(P<0.01)。结论:多种AIH改良措施应用对提高妊娠率有显著影响。     

广州地区132对不明原因不孕夫妇抗精子抗体测定

对广州地区132对(264例)不明原因不孕夫妇,进行血清抗精子抗体测定,采用精子凝集试验(Sperm-agglutination test,SAT)和精子制动试验(Spermimmobilization test,SIT)方法。精子凝集试验有两种,即试管玻片凝集试验(Tube-Slide agglutination test,TSAT)及明胶凝集试验(Gelatin agglutination test,GAT)。试验同时与正常孕妇,未婚少女各132例及兔抗人精子血清做阴性和阳性对照。SAT(TSAT和GAT)试验结果有3.30％(4/132)男性患者及7.58％(10/132)女性患者为阳性。SIT试验有3.30％(4/132)男性患者与6.81％(9/132)女性患者为阳性。试验结果提示:对不明原因不孕患者有必要先排除由抗精子抗体这一免疫因素所引起的不孕。     

350例男性不育症原因临床分析

1979～1983年我科诊治350例男性不育症,基本原因归纳为三大类:精子质量差199例,占56.86％;并发前列腺炎、精索静脉曲张、睾丸附睾炎者共154例,无精子症65例,占18.57;性功能障碍86例,占24.57％。精子质量差患者中,并发附属性腺炎症十分明显,对两者关系作了阐述;对无精子症患者经双侧输精管通水或精道造影术及双侧皋丸病理活检,显示了睾丸组织有明显损害;性功能障碍患者经病史调查分析说明绝大多数为功能性的。