子宫内膜异位症伴不孕98例临床分析
 |
| 第1页 |
参见附件(1961KB，2页)。
[摘要] 目的：探讨影响子宫内膜异位症(内异症)伴不孕治疗效果的相关因素。方法：对本院98例子宫内膜异位症伴不孕患者的临床资料进行系统性回顾。结果：98例患者中，子宫内膜异位症Ⅰ～Ⅱ期 57例，Ⅲ～Ⅳ期41例；原发不孕39例，继发不孕59例，均顺利完成腹腔镜手术。术中亚甲蓝通液检查至少一侧输卵管通畅96例，双侧梗阻2例，进行输卵管再通术。随访时间6～24个月。术后成功妊娠39例，妊娠率达39.8%。妊娠率Ⅰ～Ⅱ期高于Ⅲ～Ⅳ期(P<0.05)，继发不孕明显高于原发不孕(P<0.05)。复发6例，Ⅰ～Ⅱ期1例，Ⅲ～Ⅳ期5例。结论：对于子宫内膜异位症伴不孕患者，腹腔镜是提高妊娠率的有效治疗手段。术后妊娠率与子宫内膜异位症病变程度及不孕类别有关，病变程度越高术后复发率越高。
[关键词] 子宫内膜异位症；不孕；妊娠率；腹腔镜
[中图分类号] R711.71 [文献标识码]A[文章编号]1674-4721(2011)07(c)-049-02
Clinical analysis of endometriosis associated with infertility in 98 cases
HUANG Guifeng, MO Xiuying
Department of Obstetrics and Gynecology, Maternal and Child Health Hospital of Nanning City, Guangxi Zhuang Autonomous Region, Nanning 530011, China
[Abstract] Objective: To investigate the impact of endometriosis (endometriosis) with infertility treatment related factors. Methods: Systematic review the clinical data of 98 cases of endometriosis associated with infertility. Results: In 98 patients, 57 cases were endometriosisⅠ-Ⅱ, 41 cases were endometriosisⅢ-Ⅳ; 39 cases were primary infertility, 59 cases are secondary infertility, they were successfully completed laparoscopic surgery. At the same time，used general solution technique with the methylene blue check the tubal, 96 patients had at least one side smooth, fallopian tube recanalization was used in 2 cases of bilateral tubal obstruction. They were followed up for 6-24 months. 39 cases successful pregnanted, the pregnancy rate was 39.8%. EndometriosisⅠ-Ⅱ had higher pregnancy rate thanⅢ-Ⅳ (P<0.05), secondary infertility was significantly higher than primary infertility (P<0.05). 6 cases were recrudesced, 1 case wasⅠ-Ⅱ, 5 cases wereⅢ-Ⅳ. Conclusion: For patients with endometriosis associated with infertility, laparoscopy is an effective treatment to improve pregnancy rate. Pregnancy rate are related with clinical stage and infertility categories and the higher lesions the higher relapse rate after surgery.
[Key words] Endometriosis; Infertility; Pregnancy; Laparoscopic
子宫内膜异位症(内异症)是指具有生长功能的子宫内膜组织(腺体和间质)出现在子宫腔以外的身体其他部位并种植生长而产生的病变[1] ......
您现在查看是摘要介绍页，详见PDF附件(1961KB，2页)。