| 叶凌玫,金万里,陈纲.不孕症合并子宫内膜异位症 47例腹腔镜治疗术后疗效的影响因素分析[J].安徽医药,2020,24(7):1431-1433. |
| 不孕症合并子宫内膜异位症 47例腹腔镜治疗术后疗效的影响因素分析 |
| Analysis of the influence factors of curative effect of 47 cases of endometriosis?associated infertility after laparoscopic treatment |
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| DOI：10.3969/j.issn.1009?6469.2020.07.041 |
| 中文关键词: 不育，女(雌)性 /外科学 子宫内膜异位症 /并发症 腹腔镜检查 妊娠结局 影响因素 |
| 英文关键词: Infertility,female/surgery Endometriosis/complications Laparoscopy Pregnancy outcome Influence factors |
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| 中文摘要: |
| 目的探讨腹腔镜治疗不孕症合并子宫内膜异位症的术后疗效的影响因素。方法选取 2013年 3月至 2017年 12月黄山市人民医院收治的 47例不孕症合并子宫内膜异位症病人进行回顾性研究，统计并分析病人年龄、不孕年限、不孕类型、病理类型、 r?AFS分期、 EFI评分、术后用药、辅助生殖等因素与术后妊娠的关系。结果单因素分析显示妊娠组在年龄、术后是否规范用药、术后是否接受辅助生殖、 EFI评分、不孕年限、不孕类型、病理类型和 R?AFS分期等变量上与未妊娠组差异无统计学意义。根据临床、统计专家意见，选择 P值较小( P＜0.15)的因素进行多因素 logistic回归分析，发现年龄 ≥35岁( χ2＝5.084，P＝0.024)、 EFI评分( χ2＝3.938，P＝0.047)、术后是否规范用药( χ2＝4.293，P＝0.038)、术后是否接受辅助生殖技术( χ2＝5.647，P＝0.017)可以有效预测术后妊娠。结论年龄大小、 EFI评分对不孕症合并子宫内膜异位症病人腹腔镜术后妊娠具有预测价值。术后规范用药、联合辅助生殖技术是提高妊娠概率的理想方法。 |
| 英文摘要: |
| Objective To explore the influence factors of curative effect in the treatment of endometriosis?associated infertility by laparoscopy.Methods From Mar 2013 to Dec 2017，47 patients，admitted to Huangshan City People’s Hospital，of endometriosis?as? sociated infertility were studied retrospectively.The relationship between prognosis of pregnancy and age，infertility time，type of infer? tility，pathological types，r?AFS，EFI score，post?operative medication and assisted reproduction and other factors were analyzed.Re? sults Univariate analysis showed that there was no significant difference between the pregnant group and the non?pregnant group in age，post?operative medication，assisted reproduction，EFI score，infertility time，type of infertility，pathological types and R?AFS.Ac? cording to the opinions of clinical and statistical experts，the factors with smaller p value(P＜0.15)were selected for multivariate lo? gistic regression analysis.We found that age≥35(χ2＝5.084，P＝0.024)EFI score(χ2＝3.938，P＝0.047)，post?operative medication(χ2＝4.293，P＝0.038)and assisted reproduction(χ2＝5.647，P＝0.017)w，ere effective predictors of post?operative pregnancy.Con?clusions Age and EFI score have predictive value for pregnancy after laparoscopy in patients with endometriosis?associated infertil?ity.Standardized post?operative medication and assisted reproduction technology are ideal methods to improve pregnancy rate. |
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