May J, Gemmell J, Crawford J, Lyall H
Department of Obstetrics and Gynaecology, Royal Alexandra Hospital, Paisley and Assisted Conception Service, Glasgow Royal Infirmary, Glasgow, UK.
J Obstet Gynaecol. 2012 Aug;32(6):566-8. doi: 10.3109/01443615.2012.690786.
In a 2-year period (2004 and 2005), 117 couples with infertility were referred from secondary care for IVF/ICSI treatment. This study describes the age, waiting times, diagnostic categories and outcomes for all couples referred. A total of 59% (69) of all couples referred conceived. Of these, 25% (29 couples) conceived spontaneously or as a result of simpler treatments and 34% (40 couples) conceived following IVF/ICSI treatment. The twin pregnancy rate following IVF/ICSI was 25% and the average waiting time from referral to treatment was 13-18 months. Couples with female factor infertility (excluding endometriosis) and couples with unexplained infertility experienced a higher spontaneous pregnancy rate while awaiting IVF/ICSI treatment, than those couples with male factor or combined infertility. However, couples with male factor or combined infertility achieved much higher success rates with IVF/ICSI treatment.
在2004年至2005年的两年期间，117对不孕夫妇从二级医疗机构转诊接受体外受精/卵胞浆内单精子注射（IVF/ICSI）治疗。本研究描述了所有转诊夫妇的年龄、等待时间、诊断类别和治疗结果。所有转诊夫妇中共有59%（69对）成功受孕。其中，25%（29对夫妇）自然受孕或通过更简单的治疗受孕，34%（40对夫妇）在接受IVF/ICSI治疗后受孕。IVF/ICSI后的双胎妊娠率为25%，从转诊到治疗的平均等待时间为13至18个月。女性因素不孕（不包括子宫内膜异位症）的夫妇和不明原因不孕的夫妇在等待IVF/ICSI治疗期间的自然妊娠率高于男性因素不孕或合并不孕的夫妇。然而，男性因素不孕或合并不孕的夫妇通过IVF/ICSI治疗获得了更高的成功率。
