国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 212-216.

• 综述 • 上一篇    下一篇

输卵管性不孕的流行病学及病因

朱慧莉，黄薇   

  1. 610041 四川省成都市，四川大学华西第二医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15
  • 通讯作者: 黄薇

Epidemiology and Etiology of Oviduct Infertility

ZHU Hui-li, HUANG Wei   

  1. Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu 610041, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: HUANG Wei

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摘要： 全球育龄夫妇不孕症的发病率呈不断上升趋势，女性不孕以排卵障碍和输卵管因素居多。输卵管异常如输卵管炎症、粘连、阻塞导致的输卵管性不孕是女性不孕的常见原因之一。由沙眼衣原体、解脲支原体、淋病奈瑟菌、结核菌等病原体引起的盆腔炎性疾病是输卵管性不孕的最常见病因，其次是阑尾炎、人工流产手术及盆腹腔手术，此外子宫内膜异位症、输卵管先天发育异常等也是输卵管性不孕的病因。由于输卵管性不孕的发病率逐渐上升，给社会带来极大经济负担，患者也遭受巨大的心理压力，因此就输卵管性不孕的流行病学及病因进行综述和探讨，有助于更好地预防和诊治。

关键词: 不育, 女（雌）性, 输卵管疾病, 流行病学方法, 盆腔炎性疾病

Abstract: The rising incidence of infertility among couples of childbearing age has been a global concern. The ovulatory and tubal factors are the common causes of female infertility, including the inflammation, adhesion and obstruction of oviduct. Pelvic inflammatory disease is the most common cause for oviduct infertility, which affected by Chlamydia trachomatis, Ureaplasma urealyticum, Gonococcus or tubercle bacillus. Besides, appendicitis, induced abortion, abdominopelvic surgery, endometriosis and congenital dysplasia of fallopian tube are also the pathogenesis of oviduct infertility. The prevalence of tubal infertility brings not only the great economic burden to the society, but also the psychological pressure to the patients. This systematic review on the epidemiology and etiology of tubal infertility may help doctors to optimize the prevention, diagnosis and treatment of tubal infertility.

Key words: Infertility, female, Fallopian tube diseases, Epidemiologic methods, Pelvic inflammatory disease