云南少数民族地区女性不孕病因分析。
Analysis of the etiologies of female infertility in Yunnan minority areas.
机构信息
Department of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, No. 157 of Jinbi Road, Xishan District, Kunming, 650032, China.
Medical School of Kunming University of Science and Technology, Kunming, 650500, China.
出版信息
BMC Womens Health. 2021 Mar 1;21(1):88. doi: 10.1186/s12905-021-01216-5.
BACKGROUND
The present study aims to provide a comparative analysis of the etiologies of female infertility between Dehong, on the Yunnan Frontier, and Kunming.
METHODS
A retrospective study, which included 941 infertile females in Kunming who were treated in the First People's Hospital of Yunnan Province and infertile females who were treated in the local hospital in Dehong from January 2016 to November 2018, was conducted. A comparative analysis of the etiologies of infertility in the two regions was then carried out.
RESULTS
In patients with primary infertility, ovulation disorder (15.03%) was the main cause of infertility in Kunming, and pelvic inflammatory disease (25.59%) was the main cause in Dehong. With regard to secondary infertility, although pelvic inflammatory disease was the main cause of infertility in both regions, the incidence of intrauterine adhesions in Kunming was significantly higher than in Dehong.
CONCLUSIONS
The etiology of infertility showed different epidemiological characteristics depending on the region, hence individualized treatment should be given accordingly.
背景
本研究旨在对云南德宏地区与昆明地区女性不孕的病因进行对比分析。
方法
回顾性分析 2016 年 1 月至 2018 年 11 月在云南省第一人民医院治疗的 941 例昆明地区不孕女性和在德宏当地医院治疗的不孕女性的临床资料，对两地不孕病因进行对比分析。
结果
在原发性不孕患者中，昆明地区以排卵障碍（15.03%）为主要不孕病因，德宏地区以盆腔炎（25.59%）为主要不孕病因；在继发性不孕患者中，虽然两地均以盆腔炎为主要不孕病因，但昆明地区宫腔粘连的发生率明显高于德宏地区。
结论
不孕病因表现出不同的流行病学特征，因此应根据具体情况进行个体化治疗。
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