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华西医学  2011 

腹腔镜手术联合孕三烯酮治疗子宫内膜异位症合并不孕的疗效分析

, PP. 382-384

Keywords: 子宫内膜异位症,不孕,腹腔镜手术,孕三烯酮,生育指数

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Abstract:

【】 目的 观察腹腔镜手术联合孕三烯酮治疗子宫内膜异位症合并不孕的疗效及不同评分系统对妊娠结局的预测价值。 方法 回顾性分析2004年1月-2006年12月收治的97例子宫内膜异位症合并不孕患者的临床病理资料,统计其术后妊娠率及活产率。 结果 术后1年内与1~2年的妊娠率与活产率比较,差异均无统计学意义(P>0.05)。根据美国生育协会1985年修订的子宫内膜异位症分期标准(r-AFS)进行分期,各期患者术后妊娠率差异无统计学意义(P>0.05);但随着分期升高,活产率逐渐下降(P0.05).TherewasnosignificantdifferenceofPRamongwomenofvariousstagesofEMbasedonthe1985editionofriskstratificationforpatientswithEMputforwardbyAmericanFertilitySociety(r-AFS)(P>0.05),buttheLBRdecreasedwiththeraisingofthestages(P<0.05).Theendometriosisfertilityindex(EFI)waspositivelycorrelatedwithPRandLBR(P<0.05). Conclusion Laparoscopicsurgerycombinedwithgestrinonemayincreasethelong-termpregnancyrateofwomenwithEM.R-AFSclassificationislimitedinpredictingthegestationaloutcomeofwomenwithEM,whileEFIachievesabetterresult.

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