[1]王珺,应小燕.影响子宫内膜异位症不孕患者腹腔镜手术后妊娠率的多因素分析[J].中国微创外科杂志,2012,12(2):108-111.
　Wang Jun,Ying Xiaoyan..Multivariate Analysis of Pregnancy Rate after Laparoscopic Surgery for Endometriosisrelated Infertile[J].Chinese Journal of Minimally Invasive Surgery,2012,12(2):108-111.
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影响子宫内膜异位症不孕患者腹腔镜手术后妊娠率的多因素分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年2期
页码:
108-111
栏目:
出版日期:
2012-02-25

文章信息/Info

Title:
Multivariate Analysis of Pregnancy Rate after Laparoscopic Surgery for Endometriosisrelated Infertile
作者:
王珺; 应小燕
南京医科大学第二附属医院妇产科，南京210011
Author(s):
Wang Jun;  Ying Xiaoyan.
Department of Obstetrics and Gynecology, Second Affiliated Hospital, NJMU, Nanjing 210011, China
关键词:
子宫内膜异位症; 不孕; 腹腔镜; 妊娠率
Keywords:
Endometriosis; Infertility; Laparoscopy; Pregnancy rate
分类号:
R711.71
文献标志码:
A
摘要:
目的探讨影响子宫内膜异位症（内异症）不孕患者腹腔镜术后妊娠率的相关因素，为临床治疗提供依据。方法回顾分析2006年8月~2010年8月60例内异症不孕患者(Ⅰ、Ⅱ期19例，Ⅲ期26例，Ⅳ期15例)腹腔镜术后的妊娠情况，并对相关的影响因素进行logistic回归分析。结果术后妊娠率为33.3%（20/60），其中术后妊娠时间≤12个月16例，＞12个月4例。logistic回归分析显示，与内异症不孕患者术后妊娠率相关的因素有输卵管通畅情况（OR=5.304，95% CI=1123~25.045，P=0.035）、术后联合用药（OR=6.080，95% CI=1.077~34.339，P=0.041）、术后接受助孕（OR=8477，95% CI=1469~48.911，P=0.017）。结论输卵管通畅、术后用药和术后接受助孕是影响内异症不孕患者腹腔镜术后妊娠率的相关因素，临床上应加强对这部分人群的干预，有望提高术后妊娠率。
Abstract:
ObjectiveTo investigate the factors correlated to the pregnancy rate of the patients with endometriosis after laparoscopic treatment. MethodsA total of 60 patients with endometriosisrelated infertile, including 19 cases of stage Ⅰ and Ⅱ, 26 cases of stage Ⅲ, and 15 cases of stage Ⅳ, who received laparoscopic surgery in our hospital from August 2006 to August 2010, were enrolled into this study. The postoperative pregnancy of the patients and related factors were analyzed by logistic regression.ResultsIn our patients, postoperative pregnancy rate was 33.3% (20/60), among the pregnancies, 16 cases were ≤12 months, 4＞12 months. Logistic regression analysis revealed that tubal patency, and postoperative combined meditation and artificial proconceptive are significantly correlate with pregnancy rate after laparoscopic surgery (OR=5.304, 95% CI=1.123~25.045, P=0035; OR=6.080, 95% CI=1.077~34.339, P=0.041; and OR=8.477, 95% CI=1.469~48.911, P=0.017; respectively). ConclusionsTubal patency, postoperative combined medication and postoperative artificial proconceptive are influential factors of pregnancy rate after laparoscope in infertile patients with endometriosis. Interventions shall be carried out for such patients to improve pregnancy rate.

参考文献/References:

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备注/Memo

备注/Memo:
应小燕通讯作者，Email：xiaoyanying@yahoo.com
更新日期/Last Update: 2013-04-11