불임환자의 세척정자에 의한 자궁내 인공수정의 임상적 평가

Clinical Evaluation of Intrauterine Insemination with Washed Sperm in Infertile Patients

  • 이승헌 (연세대학교 의과대학 산부인과학교실) ;
  • 윤영욱 (연세대학교 의과대학 산부인과학교실) ;
  • 이보연 (연세대학교 의과대학 산부인과학교실) ;
  • 이병석 (연세대학교 의과대학 산부인과학교실) ;
  • 박기현 (연세대학교 의과대학 산부인과학교실) ;
  • 황동훈 (연세대학교 의과대학 산부인과학교실)
  • Lee, S.H. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University) ;
  • Yoon, Y.W. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University) ;
  • Lee, B.Y. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University) ;
  • Lee, B.S. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University) ;
  • Park, K.H. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University) ;
  • Hwang, D.H. (Department of Obstetrics and Gynecology, College of Medicine, Yonsei University)
  • 발행 : 1992.06.30

초록

The sucess of intrauterine inseminations with washed human spermatozoa was evaluated in 92 patients. In according to indication of insemination, intrauterine inseminations of women with hostile cervical mucus yield a 35.3% and 12.8% with male factors and 27.3% with unexplained infertility. In ovulation induction group with variable agents including clomiphen, human menopausal gonadotropin (HMG) and GnRH analog, the pregnancy rate was 27.8% (22/79) and in natural cycle group, 15.4% (2/13). The fetal loss rate in insemination group was 12.5% (3/24). Multiple pregnancies were 7 cases and ovulation induction were performed in 6 cases among them. Intrauterine insemination with washed human spermatozoa therefore represents an effective and safe procedure selected infertile couples.

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