Analysis of postoperative pregnancy of patients with endometriosis related infertility
-
摘要: 目的 研究子宫内膜异位症不孕患者手术治疗后的妊娠情况,分析腹腔镜手术治疗术后妊娠率的影响因素。 方法 选择2010年3月—2014年3月腹腔镜手术治疗子宫内膜异位症不孕患者200例做为研究对象,观察子宫内膜异位症不孕患者手术治疗后的妊娠率,子宫内膜异位症的期别、病灶部位、病灶直径以及患者年龄对术后妊娠率的影响。 结果 子宫内膜异位症不孕患者手术后6个月内总妊娠例数为21例,总妊娠率为10.5%(21/200),6~12个月总妊娠例数为25例,总妊娠率为12.5%(25/200),12个月以上总妊娠例数为11例,总妊娠率为5.5%(11/200),子宫内膜异位症不同期别、不同病灶部位、不同病灶直径以及患者不同年龄之间妊娠率比较差异均具有统计学意义(χ2=14.017、19.488、11.946,P<0.05),期别越高、病灶部位越多、病灶直径越大、患者年龄越高,术后妊娠率越低。 结论 子宫内膜异位症不孕患者术后1年内妊娠率比较高,子宫内膜异位症的期别、病灶部位、病灶直径以及患者年龄影响术后妊娠率,子宫内膜异位症期别越高、病灶部位越多、病灶直径越大、患者年龄越高,术后妊娠率越低。Abstract: Objective To study the postoperative pregnancy of infertility patients with endometriosis,and to analyze the risk factors for postoperative pregnancy rate after laparoscopic surgery for endometriosis. Methods Total 200 cases of endometriosis related infertility undergoing laparoscopic surgery in our hospital between March,2010 and March,2014 were enrolled into this study.The postoperative pregnancy rate of infertility patients with endometriosis was observed,and the influence of endometriosis stage,lesion location,lesion diameter and age on the postoperative pregnancy rate was assessed. Results Six months after the surgery,the total pregnancy cases was 21 cases and total pregnancy rate was 10.5%(21/200);6-12 months after the surgery,the total pregnancy cases was 25 cases and total pregnancy rate was 12.5%(25/200);more than 12 months after the surgery,the total pregnancy cases was 11 cases and total pregnancy rate was 5.5%(11/200).The differences in the pregnancy rate for difference endometriosis stage,lesion site,diameter and ages were statistically significant(χ2=14.017,19.488 and 11.946,P<0.05).The postoperative pregnancy rate decreased with the higher endometriosis stage,more lesion site,larger lesion diameter and higher age of patients. Conclusion The pregnancy rate during one year after the operation in infertility patients with endometriosis is relatively high.The endometriosis stage,lesion location,lesion diameter and age will affect the postoperative pregnancy rate.
-
Key words:
- Infertility /
- Endometriosis /
- Pregnancy
点击查看大图
计量
- 文章访问数: 80
- HTML全文浏览量: 20
- PDF下载量: 0
- 被引次数: 0