子宫内膜息肉的临床特征及息肉摘除术后对妊娠影响的相关因素分析

发布时间：2018-02-24 04:27

  本文关键词： 子宫内膜息肉 子宫内膜息肉摘除术 不孕 妊娠结局　出处：《现代妇产科进展》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨子宫内膜息肉(EPs)的临床特征,以及息肉摘除后对妊娠的影响及相关因素。方法:收集2014年5月至2015年5月于中山大学附属第一医院行宫腔镜手术或宫腹腔镜手术并最终病理确诊为EPs的患者464例,将其中单纯EPs合并不孕的123例患者做研究组。收集同期行相应手术的正常宫腔患者219例做为对照组。结果:464例EPs患者中,合并不孕占55.60%,合并月经异常占35.6%,合并子宫内膜异位症(EMs)占11.2%,合并子宫肌瘤者占8.4%。EPs摘除术后,研究组中30~35岁和≥35岁患者的临床妊娠率显著高于对照组(69.23%vs 49.30%,P=0.027;65.52%vs 40.54%,P=0.044),而两组中30岁患者的临床妊娠率比较,差异无统计学意义(64.29%vs 65.77%,P=0.864)。结论:EPs患者常合并不孕、月经异常、EMs或子宫肌瘤。EPs治疗后可改善年龄≥30岁患者的妊娠结局,既往有息肉史,年龄≥35岁或不孕年限≥10年是影响术后成功妊娠的因素。
[Abstract]:Objective: to investigate the clinical features of endometrial polyps (EPs). Methods: from May 2014 to May 2015, 464 patients underwent hysteroscopic or hysteroscopic surgery and hysteroscopic laparoscopy in the first affiliated Hospital of Sun Yat-sen University, and were diagnosed pathologically as EPs. One hundred and twenty-three patients with simple EPs combined with infertility were selected as study group. 219 normal uterine cavity patients who underwent corresponding surgery were collected as control group. Results among 464 patients with EPs, The proportion of patients with infertility was 55.60, that with abnormal menstruation was 35.6am, that with endometriosis was 11.2and that with hysteromyoma was 8.4.EPs. The clinical pregnancy rates of patients aged 30 or over in the study group were significantly higher than those in the control group (69.23 vs 49.302755.52 vs 40.54), but there was no significant difference in the clinical pregnancy rate between the two groups (64.29 vs 65.77P0. 864). The pregnancy outcome of patients with abnormal menstruation or hysteromyoma. EPs could improve the pregnancy outcome of patients with age 鈮，

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