子宫内膜异位症生育力指数对腹腔镜术后自然妊娠预测价值的研究

发布时间：2018-04-06 22:29

  本文选题：子宫内膜异位症　切入点：不孕症　出处：《中国妇产科临床杂志》2017年06期

【摘要】：目的探讨子宫内膜异位症生育力指数(endometriosis fertility index,EFI)评分系统对子宫内膜异位症合并不孕患者的腹腔镜术后自然妊娠概率的预测价值。方法回顾性分析2008年1月至2011年12月北京大学第三医院生殖医学中心256例进行腹腔镜联合宫腔镜检查,诊断为子宫内膜异位症合并不孕症并进行EFI评分患者的临床资料,随访其术后2年的自然妊娠情况。并对患者的不同EFI得分、临床特征、术后妊娠时间及妊娠率等进行统计学分析。结果 256例患者中,230例(89.9%)完成2年的随访,其中自然妊娠128例(55.7%),其余未孕。各EFI得分组妊娠率分别为:EFI 10分组81.0%(17/21),EFI 9分组70.0%(35/50),EFI 8分组49.0%(24/49),EFI 7分组52.6%(30/57),EFI 6分组52.0%(13/25),EFI 5分组35.0%(7/20),EFI≤4分组25.0(2/8),可见随着EFI得分的升高妊娠率呈升高趋势。ROC曲线分析得出的EFI临界点为8.5分,EFI得分8.5分者妊娠率为73.2%(52/71),得分8.5分者妊娠率为47.8%(76/159),两组比较,差异有统计学意义(P=0.000)。术后一年内妊娠率(43.5%,100/230)与一年后妊娠率(21.5%,28/130)比较,差异有统计学意义(P=0.000)。结论子宫内膜异位症生育力指数对子宫内膜异位症合并不孕患者腹腔镜术后自然妊娠概率有一定预测价值。
[Abstract]:Objective to evaluate the predictive value of endometriosis fertility index (EFI) scoring system in predicting the probability of spontaneous pregnancy after laparoscopy in patients with endometriosis complicated with infertility.Methods from January 2008 to December 2011, the clinical data of 256 patients with endometriosis complicated with infertility and EFI score were analyzed retrospectively.The natural pregnancy was followed up for 2 years after operation.The different EFI scores, clinical features, postoperative pregnancy time and pregnancy rate were analyzed statistically.Results among 256 cases, 230 cases (89. 9%) were followed up for 2 years. Among them, 128 cases of natural pregnancy were 55.75.75% and the rest were not pregnant.鍚凟FI寰楀垎缁勫�婂�犵巼鍒嗗埆涓，

本文编号：1719211