摘要
不孕症作为当今社会的重大健康问题，其病因复杂多样，治疗策略也日新月异。本文旨在深度剖析不孕症的病因，并综述现代治疗策略的进展。近年来，随着医学技术的不断进步，不孕症的病因诊断和治疗策略取得了显著进展。通过综合运用实验室检查、影像学检查、遗传学诊断以及基因检测技术，医生能够更准确地判断不孕症的病因，为患者制定个性化的治疗方案。同时，药物治疗、手术治疗以及辅助生殖技术等治疗手段的不断创新，也为不孕症患者带来了更多的治疗选择和希望。不孕症的治疗需要综合考虑患者的年龄、病因、生育需求以及经济状况等因素。因此，跨学科合作与综合治疗方案的制定显得尤为重要。通过整合不同学科的知识和技术，可以为患者提供更加全面、个性化的治疗服务。此外，心理干预和生活方式调整也是不孕症治疗中的重要环节，能够帮助患者缓解心理压力，提高治疗效果。通过深入分析不孕症的病因和发病机制，结合现代治疗策略的创新与进展，我们可以为患者提供更加精准、有效的治疗服务，帮助他们实现生育愿望，提高生活质量。
关键词： 不孕症；病因分析；治疗策略
Abstract
Infertility is a major health problem in today's society. Its causes are complex and diverse, and treatment strategies are also changing with each passing day. This article aims to provide an in-depth analysis of the causes of infertility and review the progress of modern treatment strategies. In recent years, with the continuous advancement of medical technology, significant progress has been made in the diagnosis and treatment strategies of the causes of infertility. By comprehensively using laboratory examinations, imaging examinations, genetic diagnosis and genetic testing technology, doctors can more accurately determine the cause of infertility and develop personalized treatment plans for patients. At the same time, the continuous innovation of treatment methods such as drug treatment, surgical treatment, and assisted reproductive technology has also brought more treatment options and hope to infertility patients. The treatment of infertility needs to comprehensively consider factors such as the patient's age, cause, reproductive needs, and financial status. Therefore, interdisciplinary cooperation and the development of comprehensive treatment plans are particularly important. By integrating knowledge and technology from different disciplines, patients can be provided with more comprehensive and personalized treatment services. In addition, psychological intervention and lifestyle adjustment are also important links in infertility treatment, which can help patients relieve psychological stress and improve treatment effects. Through in-depth analysis of the etiology and pathogenesis of infertility, combined with the innovation and progress of modern treatment strategies, we can provide patients with more precise and effective treatment services to help them realize their fertility wishes and improve their quality of life.
Key words： Infertility; Etiology analysis; Treatment strategy
参考文献 References
[1] 张婷,闫铮,吴畏,等.不孕症的遗传学病因研究综述[J].兰州大学学报:医学版, 2023, 49(3):63-70.
[2] 杨芸,戴华,王杜娟.辅助生殖门诊中500例不孕症女性的病因分析探讨[J].实用妇科内分泌电子杂志, 2023, 10(15):28-30.
[3] 翟振武,刘雯莉.中国妇女终身不孕水平究竟有多高?——基于人口调查数据的分析[J].人口研究, 2020, 44(2): 15.
[4] 何宗勇,郭海春,刘金皓,等.不孕不育家庭男方精液质量调查分析[J].检验医学与临床, 2020, 17(2):3.
[5] 沈文娟,吴效科,马红丽,等.多囊卵巢综合征不孕症临床试验偏离方案情况分析及应对策略[J].中医杂志, 2019, 60(10).
[6] 于霞,王井.超声监测卵泡发育与排卵在不孕症中不同妊娠结局的对比研究[J].影像研究与医学应用, 2023, 7(20):108-110.
[7] 李裕民,韩云贤,罗志彬.男性不育与生活环境[J].中外医学研究, 2022(32).
[8] 陈欣欣,寸金涛,李霖华.昆明市1661例不育男性精液质量分析[J]. 2022(1).
[9] 何娟,罗宇迪,朱玲玲,等.PPOS方案在不同年龄段卵巢储备功能减退不孕患者中的应用分析[J].实用妇科内分泌杂志（电子版）, 2022(004):009.
[10] 彭雪梅,梁瑞宁,徐玲.卵巢储备功能下降导致的不孕症的病因病机与治法[J].中国医学创新, 2023, 20(23):185-188.
[11] 刘茜茜,马东骥,曾佳,等.女性不孕症病因的研究进展[J].中国临床实用医学, 2022, 13(5):2.
[12] 薛琼花,王蓉,万丽君.四维超声子宫输卵管造影诊断输卵管性不孕症的临床价值[J].影像研究与医学应用, 2024(004):008.
[13] 王磊,桑庆.用于检测女性原发不孕的TACC3基因及检测该基因突变的试剂盒:CN202210996923. 1[P]. CN 115927584A[2024-06-13].
[14] 魏佳乐,刘鑫奕,陆绍永,等.基于生物医学大数据寻找不孕症关键致病基因及通路[J].上海交通大学学报:医学版, 2021, 41(10):6.
[15] 白秀丽.不孕症采用宫腹腔镜联合下输卵管疏通术治疗的临床效果研究[J].中文科技期刊数据库(全文版)医药卫生, 2022(4):4.
[16] 张晗,刘艳君,卜晓萌,等.PCOS不孕患者IVF-ET治疗中拮抗剂与高孕激素下促排卵方案治疗效果比较[J].中国优生与遗传杂志, 2023.
[17] 韩寒,李淑荣,任先丽.不孕症患者治疗方式决策冲突现状及影响因素分析[J].齐鲁护理杂志, 2023, 29(19):55-58.
[18] 谢凤霞.探究宫腔镜下输卵管插管通液治疗不孕症的临床效果[J].当代医学 2022年28卷8期, 103-105页, 2022.
[19] 郜艳翠,孙婷,马思琪,等.多囊卵巢综合征药物治疗研究进展[J].中文科技期刊数据库（全文版）医药卫生, 2023.
[20] 雷玲玲.辅助生殖技术,助不孕家庭迎好"孕"[J].家庭医药:就医选药, 2023(10):82-83.
[21] 闫法群,田廷科.生殖超声与疑难不孕症成功治疗病例剖析 妇产科[M].中国科学技术出版社,2023.
[22] 郑中,赵晓明.日常生活中如何预防不孕症[J].人人健康, 2024(003):000.
[23] 何飞,李梦柯.阶段性健康教育对女性不孕症患者疾病知晓度情绪自我效能感及病耻感的影响[J]. 2023(6).