Anselmo J, Gutiérrez A, Canales S
CENTROMED, Viña del Mar, Chile.
Rev Chil Obstet Ginecol. 1991;56(1):16-9.
We present our experience with the method of Direct Intraperitoneal Insemination (DIPI) in cases of infertility during 56 cycles with ovarian stimulation in 15 women 53.3% of our cases are primary sterility cases. The principal indication for DIPI was male factor (six cases), endometriosis three cases, cervical hostility, three cases and compound cases the other ones. The average age was 33.7% years. Always we used the induction of ovulation according to the protocol of Frydman with clinical monitorization. The seminal fluid was treated with the swim-up method and was placed in the pelvic peritoneum with a spinal needle by direct transvaginal puncture, during the ovulatory period. We have obtained five pregnancies (33.3%) one of them ectopic (6.66). We have been successful in all cases of cervical hostility and in one case of compound etiology. There are no complications in this series with DIPI. It is discussed the place of DIPI among the technology of assisted fertilization.
我们介绍了15名女性在56个促排卵周期中采用直接腹腔内授精(DIPI)方法治疗不孕症的经验。我们53.3%的病例为原发性不育症。DIPI的主要适应症为男方因素(6例)、子宫内膜异位症3例、宫颈因素3例以及其他复合病例。平均年龄为33.7岁。我们始终按照弗里德曼方案并进行临床监测来诱导排卵。精液采用上游法处理,并在排卵期通过经阴道直接穿刺用腰椎穿刺针注入盆腔腹膜。我们获得了5次妊娠(33.3%),其中1次为异位妊娠(6.66%)。我们在所有宫颈因素病例以及1例复合病因病例中均取得成功。本系列中DIPI无并发症发生。文中讨论了DIPI在辅助生殖技术中的地位。