宫腔镜子宫内膜息肉切除后EP合并不孕患者的妊娠结局及影响因素分析

发布时间：2018-05-25 15:44

  本文选题：妊娠 + 子宫内膜息肉　； 参考：《中国妇产科临床杂志》2017年01期

【摘要】：目的 观察宫腔镜子宫内膜息肉切除(TCRP)后患者的妊娠结局,并分析其影响妊娠的因素。方法回顾分析2012年5月至2013年5月在山东省聊城市妇幼保健院接受TCRP的90例患者,观察术后1年和2年时的妊娠例数、正常分娩例数、流产例数和早产例数。比较不同临床特征的子宫内膜息肉患者术后妊娠率的差异;采用Logist回归分析法分析影响患者术后妊娠率的因素。结果 术后1年自然妊娠者18例,除流产2例,早产4例外,其余均正常分娩。术后2年自然妊娠者42例,其中除流产7例,早产6例,其余均正常分娩,2年内总妊娠率为66.67%;年龄≥30岁、合并糖尿病、息肉≥1 cm、多发及息肉位于宫角部或后壁者其术后妊娠率较低,差异有统计学意义(P0.05),而不孕年限的长短对术后妊娠情况无明显影响(P0.05);患者的年龄、息肉大小、息肉部位和息肉个数是影响患者术后妊娠的因素,OR值分别为4.632、3.264、5.124和4.860。结论 宫腔镜切除子宫内膜息肉可明显提高患者的妊娠率,患者的年龄、息肉大小、部位和个数是影响术后妊娠率的重要因素。
[Abstract]:Objective to observe the outcome of pregnancy after hysteroscopic resection of endometrial polyposis (TCRP) and analyze the factors affecting pregnancy. Methods from May 2012 to May 2013, 90 patients who received TCRP from May 2012 to May 2013 in Liaocheng Maternal and Child Health Hospital of Shandong Province were retrospectively analyzed. The number of pregnancy, normal delivery, abortion and premature delivery were observed 1 and 2 years after operation. To compare the difference of postoperative pregnancy rate in patients with different clinical characteristics of endometrial polyps, and to analyze the factors influencing the postoperative pregnancy rate by Logist regression analysis. Results one year after operation, 18 cases of spontaneous pregnancy, except 2 cases of abortion, 4 cases of premature delivery, all the other normal delivery. There were 42 cases of spontaneous pregnancy 2 years after operation, including 7 cases of abortion and 6 cases of premature delivery. The total pregnancy rate within 2 years was 66.67 years. Polyps 鈮，

本文编号：1933801