宫-腹腔镜联合治疗子宫内膜异位症合并不孕患者术后妊娠的影响因素分析

发布时间：2018-01-22 04:28

  本文关键词： 子宫内膜异位症 不孕 妊娠率 影响因素 宫-腹腔镜联合治疗　出处：《实用妇产科杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨宫-腹腔镜联合治疗子宫内膜异位症(EMT)合并不孕患者术后妊娠的影响因素。方法:选择2012年4月至2014年4月于厦门市妇幼保健院行宫-腹腔镜联合治疗的EMT合并不孕患者共340例为研究对象,随访18~42月,分析影响术后妊娠率的临床因素。结果:292例完成随访,随访率85.88%(292/340),术后妊娠165例(56.51%)。其中术后1~6月、7~12月、13~24月、25~42月分别妊娠115例(39.38%)、40例(13.70%)、8例(2.74%)、2例(0.68%),差异有统计学意义(χ~2=11.76,P0.05)。多因素分析结果显示:年龄≥35岁、不孕年限≥3年、r-AFS分期高是影响患者术后妊娠的独立危险因素(OR=10.45、3.03、3.74,P0.05);继发不孕、使用促排卵治疗是影响术后妊娠的独立保护因素(OR=0.23、0.33,P0.05)。结论:EMT合并不孕患者采用宫-腹腔镜联合治疗可获得较好的术后妊娠率,术后1年内是妊娠最佳时机。患者年龄≥35岁,不孕年限≥3年,r-AFS分期高可影响术后妊娠率,使用促排卵药物治疗对提高妊娠率有益。
[Abstract]:Objective: to explore the combined treatment of endometriosis with hysteroscopy and laparoscopy. Factors influencing pregnancy in patients with infertility after operation. Methods:. From April 2012 to April 2014, a total of 340 patients with EMT complicated with infertility were selected as the subjects of study in Xiamen Maternal and Child Health Hospital. The clinical factors affecting the pregnancy rate were analyzed. Results 292 cases were followed up and the follow-up rate was 85.88 / 292 / 340). Of the 165 cases of postoperative pregnancy, 56.51 cases were pregnant from 1 to June to December from 13 to 24 months and from 25 to 42 months, respectively, in which there were 39.38 cases of pregnancy. 40 cases (13.70%) and 8 cases (2.74%) were involved in 0.68 cases, the difference was statistically significant (蠂 2 + 11.76). The results of multivariate analysis showed that age 鈮，

本文编号：1453658