本文關(guān)鍵詞： 子宮內(nèi)膜異位癥 不孕 妊娠率 影響因素 宮-腹腔鏡聯(lián)合治療　出處：《實用婦產(chǎn)科雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的:探討宮-腹腔鏡聯(lián)合治療子宮內(nèi)膜異位癥(EMT)合并不孕患者術(shù)后妊娠的影響因素。方法:選擇2012年4月至2014年4月于廈門市婦幼保健院行宮-腹腔鏡聯(lián)合治療的EMT合并不孕患者共340例為研究對象,隨訪18~42月,分析影響術(shù)后妊娠率的臨床因素。結(jié)果:292例完成隨訪,隨訪率85.88%(292/340),術(shù)后妊娠165例(56.51%)。其中術(shù)后1~6月、7~12月、13~24月、25~42月分別妊娠115例(39.38%)、40例(13.70%)、8例(2.74%)、2例(0.68%),差異有統(tǒng)計學(xué)意義(χ~2=11.76,P0.05)。多因素分析結(jié)果顯示:年齡≥35歲、不孕年限≥3年、r-AFS分期高是影響患者術(shù)后妊娠的獨(dú)立危險因素(OR=10.45、3.03、3.74,P0.05);繼發(fā)不孕、使用促排卵治療是影響術(shù)后妊娠的獨(dú)立保護(hù)因素(OR=0.23、0.33,P0.05)。結(jié)論:EMT合并不孕患者采用宮-腹腔鏡聯(lián)合治療可獲得較好的術(shù)后妊娠率,術(shù)后1年內(nèi)是妊娠最佳時機(jī)。患者年齡≥35歲,不孕年限≥3年,r-AFS分期高可影響術(shù)后妊娠率,使用促排卵藥物治療對提高妊娠率有益。
[Abstract]:Objective: to explore the combined treatment of endometriosis with hysteroscopy and laparoscopy. Factors influencing pregnancy in patients with infertility after operation. Methods:. From April 2012 to April 2014, a total of 340 patients with EMT complicated with infertility were selected as the subjects of study in Xiamen Maternal and Child Health Hospital. The clinical factors affecting the pregnancy rate were analyzed. Results 292 cases were followed up and the follow-up rate was 85.88 / 292 / 340). Of the 165 cases of postoperative pregnancy, 56.51 cases were pregnant from 1 to June to December from 13 to 24 months and from 25 to 42 months, respectively, in which there were 39.38 cases of pregnancy. 40 cases (13.70%) and 8 cases (2.74%) were involved in 0.68 cases, the difference was statistically significant (蠂 2 + 11.76). The results of multivariate analysis showed that age 鈮，

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