本文選題：子宮內(nèi)膜異位癥　切入點(diǎn)：不孕癥　出處：《中國婦產(chǎn)科臨床雜志》2017年06期

【摘要】：目的探討子宮內(nèi)膜異位癥生育力指數(shù)(endometriosis fertility index,EFI)評分系統(tǒng)對子宮內(nèi)膜異位癥合并不孕患者的腹腔鏡術(shù)后自然妊娠概率的預(yù)測價(jià)值。方法回顧性分析2008年1月至2011年12月北京大學(xué)第三醫(yī)院生殖醫(yī)學(xué)中心256例進(jìn)行腹腔鏡聯(lián)合宮腔鏡檢查,診斷為子宮內(nèi)膜異位癥合并不孕癥并進(jìn)行EFI評分患者的臨床資料,隨訪其術(shù)后2年的自然妊娠情況。并對患者的不同EFI得分、臨床特征、術(shù)后妊娠時(shí)間及妊娠率等進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果 256例患者中,230例(89.9%)完成2年的隨訪,其中自然妊娠128例(55.7%),其余未孕。各EFI得分組妊娠率分別為:EFI 10分組81.0%(17/21),EFI 9分組70.0%(35/50),EFI 8分組49.0%(24/49),EFI 7分組52.6%(30/57),EFI 6分組52.0%(13/25),EFI 5分組35.0%(7/20),EFI≤4分組25.0(2/8),可見隨著EFI得分的升高妊娠率呈升高趨勢。ROC曲線分析得出的EFI臨界點(diǎn)為8.5分,EFI得分8.5分者妊娠率為73.2%(52/71),得分8.5分者妊娠率為47.8%(76/159),兩組比較,差異有統(tǒng)計(jì)學(xué)意義(P=0.000)。術(shù)后一年內(nèi)妊娠率(43.5%,100/230)與一年后妊娠率(21.5%,28/130)比較,差異有統(tǒng)計(jì)學(xué)意義(P=0.000)。結(jié)論子宮內(nèi)膜異位癥生育力指數(shù)對子宮內(nèi)膜異位癥合并不孕患者腹腔鏡術(shù)后自然妊娠概率有一定預(yù)測價(jià)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寰楀垎緇勫濞犵巼鍒嗗埆涓，

本文編號：1719211