本文選題：妊娠 + 子宮內(nèi)膜息肉�。� 參考：《中國(guó)婦產(chǎn)科臨床雜志》2017年01期

【摘要】：目的 觀察宮腔鏡子宮內(nèi)膜息肉切除(TCRP)后患者的妊娠結(jié)局,并分析其影響妊娠的因素。方法回顧分析2012年5月至2013年5月在山東省聊城市婦幼保健院接受TCRP的90例患者,觀察術(shù)后1年和2年時(shí)的妊娠例數(shù)、正常分娩例數(shù)、流產(chǎn)例數(shù)和早產(chǎn)例數(shù)。比較不同臨床特征的子宮內(nèi)膜息肉患者術(shù)后妊娠率的差異;采用Logist回歸分析法分析影響患者術(shù)后妊娠率的因素。結(jié)果 術(shù)后1年自然妊娠者18例,除流產(chǎn)2例,早產(chǎn)4例外,其余均正常分娩。術(shù)后2年自然妊娠者42例,其中除流產(chǎn)7例,早產(chǎn)6例,其余均正常分娩,2年內(nèi)總?cè)焉锫蕿?6.67%;年齡≥30歲、合并糖尿病、息肉≥1 cm、多發(fā)及息肉位于宮角部或后壁者其術(shù)后妊娠率較低,差異有統(tǒng)計(jì)學(xué)意義(P0.05),而不孕年限的長(zhǎng)短對(duì)術(shù)后妊娠情況無明顯影響(P0.05);患者的年齡、息肉大小、息肉部位和息肉個(gè)數(shù)是影響患者術(shù)后妊娠的因素,OR值分別為4.632、3.264、5.124和4.860。結(jié)論 宮腔鏡切除子宮內(nèi)膜息肉可明顯提高患者的妊娠率,患者的年齡、息肉大小、部位和個(gè)數(shù)是影響術(shù)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，

本文編號(hào)：1933801