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子宫内膜异位症相关性不孕患者腹腔镜术后生殖预后的影响因素分析 预览 被引量:76

Clinical Factors of Reproductive Outcome after Laparoscopic Treatment in Patients with Endometriosis-Associated Infertility
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摘要 目的:探讨子宫内膜异位症(EMT)相关性不孕患者腹腔镜术后生殖预后的影响因素。方法:回顾性分析2009年7月至2011年4月宁夏医科大学附属医院收治并经腹腔镜治疗,术后病理证实诊断的EMT75例患者的临床资料和随访术后1年内妊娠情况,统计学分析影响术后妊娠的相关因素。结果:单因素分析中,年龄、是否合并子宫腺肌病、术后是否规范用药、术后是否接受辅助生殖技术为EMT相关性不孕患者腹腔镜术后生殖预后的影响因素(P=0.000)。多因素分析显示年龄、术后是否接受辅助生殖技术、是否合并子宫腺肌病为EMT的独立影响因素(P〈0.05)。结论:年龄、术后是否接受辅助生殖技术、是否合并子宫腺肌病为EMT相关性不孕患者腹腔镜术后生殖预后的重要影响因素,应将腹腔镜术后相关影响因素综合分析,更加客观地判断生殖预后。 Objective:To analyse the clinical factors for reproductive outcome after laparoscopic treatment in patients with endometriosis-associated infertility. Methods:75 patients underwent laparoscopic treatment in hospital affiliate to Ningxia medical university, from July 2009 to April 2011, were recruit in this study. Preg- nancy rate were followed within 1 year. Univariable analysis was used to identify factors of pregnancy out- come. Results: Patient age, adenomyosis, medicine administration, and reproductive technology offer were associated with reproductive outcome after laparoscopic treatment in patients with endometriosis-associated infertility( P=0. 000). Multifactors analysis showed that age, reproductive technology offer and adenomyosis were independent factors( P 〈0. 05). Conclusions:For endometriosis-associated infertility, impact factors of reproductive outcome after laparoscopic treatment should be taken into account for evaluation.
作者 刘丹 张治宁 哈春芳 刘培淑 LIU Dan, ZHANG Zhining , HA Chunfang, et al (1. The Affiliated Hospital of Ningxia Medical University,Yinchuan Ningxia 750006,China;2. Qilu Hospital Af- filiate to Shandong University,Jinan Shandong 250011 ,china)
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2013年第1期52-55,共4页 Journal of Practical Obstetrics and Gynecology
基金 宁夏自然科学基金(编号:NZ10123),宁夏银川市科技局公关项目(编号:201207)
关键词 子宫内膜异位症 不孕 腹腔镜术后 生殖预后 临床影响因素 Endometriosis Infertility Laparoscopic treatment Reproductive prognosis Clinical impact fac-tor
作者简介 通讯作者:刘培淑,liupeishu@gmail.com.
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参考文献17

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