腹腔镜治疗子宫内膜异位症合并不孕患者术后妊娠影响因素分析
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摘要
目的分析影响子宫内膜异位症合并不孕患者腹腔镜手术后妊娠的因素。方法根据回顾性分析方法,方便选取2014年5月—2017年4月在该院就诊的60例子宫内膜异位合并不孕症患者作为研究对象。统计患者术后2年妊娠情况,并根据多因素回归分析总结影响患者术后妊娠的原因。结果术后2年,患者临床妊娠35例,妊娠率为58.33%;其中26例为自然妊娠,占43.33%。经logistic回归分析显示,年龄、是否合并子宫肌腺病、病情分期、术后用药、术后是否接受辅助生殖技术是影响患者术后能否妊娠的主要原因。结论对于子宫内膜异位症合并不孕患者来说,腹腔镜术后还存在多种影响妊娠的因素,因而要更加客观的判断生殖预后。
Objective To analyze the factors affecting pregnancy after laparoscopic surgery in patients with endometriosis and infertility. Methods According to the retrospective analysis method, 60 patients with endometriosis and infertility who were treated in our hospital from May 2014 to April 2017 were convenient studied. The patient's 2 years postoperative pregnancy was counted, and the causes of postoperative pregnancy were summarized based on multivariate regression analysis. Results 2 years after operation, the patient had 35 cases of pregnancy, and the pregnancy rate was 58.33%. Among them, 26 cases were natural pregnancy, accounting for 43.33%. Logistic regression analysis showed that age, whether with uterine adenomyosis, stage of disease, postoperative medication, and whether or not to receive assisted reproductive technology after surgery were the main reasons that affected the postoperative pregnancy. Conclusion For patients with endometriosis and infertility, there are many factors affecting pregnancy after laparoscopic surgery, so it is necessary to judge reproductive prognosis more objectively.
Objective To analyze the factors affecting pregnancy after laparoscopic surgery in patients with endometriosis and infertility. Methods According to the retrospective analysis method, 60 patients with endometriosis and infertility who were treated in our hospital from May 2014 to April 2017 were convenient studied. The patient's 2 years postoperative pregnancy was counted, and the causes of postoperative pregnancy were summarized based on multivariate regression analysis. Results 2 years after operation, the patient had 35 cases of pregnancy, and the pregnancy rate was 58.33%. Among them, 26 cases were natural pregnancy, accounting for 43.33%. Logistic regression analysis showed that age, whether with uterine adenomyosis, stage of disease, postoperative medication, and whether or not to receive assisted reproductive technology after surgery were the main reasons that affected the postoperative pregnancy. Conclusion For patients with endometriosis and infertility, there are many factors affecting pregnancy after laparoscopic surgery, so it is necessary to judge reproductive prognosis more objectively.
引文
[1]吴能秀,谢熙,刘超斌,等.腹腔镜手术治疗盆腔内子宫内膜异位症合并不孕症术后自然妊娠相关分析[J].福建医科大学学报,2017,51(5):326-329.
[2]中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊治指南[J].中华妇产科杂志,2015,25(3):161-169.
[3]侯文杰,徐建英,王芳,等.子宫内膜异位症合并不孕症患者术后自然妊娠率的影响因素分析[J].中国现代医学杂志,2017,27(12):112-115.
[4]赵宁,雷勇.子宫内膜异位症不孕患者双镜术后妊娠的相关因素分析[J].重庆医学,2018,47(27):3517-3520.
[5]刘淑琴.子宫内膜异位症合并不孕症患者腹腔镜手术后妊娠情况及其影响因素[J].山东医药,2016,56(4):71-72.
[6]李仕珍,邓晓惠.盆腔子宫内膜异位症合并不孕患者术后妊娠相关因素分析[J].国际生殖健康/计划生育杂志,2017,36(4):291-294.
[7]赵磐琳,庞春元.子宫内膜异位症不孕病人腹腔镜术后妊娠的影响因素分析[J].蚌埠医学院学报,2017,42(6):781-783.
[8]梁秀文,季新梅.腹腔镜治疗子宫内膜异位症合并不孕症的疗效及影响术后妊娠的因素[J].医学临床研究,2017,34(4):711-714.
[9]高艳,宋静慧.子宫腺肌病及其不孕相关因素[J].国际妇产科学杂志, 2014,23(6):624-627.
[10]尤丽芳.腹腔镜手术联合促性腺激素释放激素激动剂治疗子宫内膜异位症疗效的比较研究[J].中国微创外科杂志, 2015,15(4):1119-1121.
[11]权丽丽,曲丽霞.子宫内膜异位症腹腔镜术后复发的相关危险因素分析[J].中国卫生统计,2015,32(1):86-87.
[2]中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊治指南[J].中华妇产科杂志,2015,25(3):161-169.
[3]侯文杰,徐建英,王芳,等.子宫内膜异位症合并不孕症患者术后自然妊娠率的影响因素分析[J].中国现代医学杂志,2017,27(12):112-115.
[4]赵宁,雷勇.子宫内膜异位症不孕患者双镜术后妊娠的相关因素分析[J].重庆医学,2018,47(27):3517-3520.
[5]刘淑琴.子宫内膜异位症合并不孕症患者腹腔镜手术后妊娠情况及其影响因素[J].山东医药,2016,56(4):71-72.
[6]李仕珍,邓晓惠.盆腔子宫内膜异位症合并不孕患者术后妊娠相关因素分析[J].国际生殖健康/计划生育杂志,2017,36(4):291-294.
[7]赵磐琳,庞春元.子宫内膜异位症不孕病人腹腔镜术后妊娠的影响因素分析[J].蚌埠医学院学报,2017,42(6):781-783.
[8]梁秀文,季新梅.腹腔镜治疗子宫内膜异位症合并不孕症的疗效及影响术后妊娠的因素[J].医学临床研究,2017,34(4):711-714.
[9]高艳,宋静慧.子宫腺肌病及其不孕相关因素[J].国际妇产科学杂志, 2014,23(6):624-627.
[10]尤丽芳.腹腔镜手术联合促性腺激素释放激素激动剂治疗子宫内膜异位症疗效的比较研究[J].中国微创外科杂志, 2015,15(4):1119-1121.
[11]权丽丽,曲丽霞.子宫内膜异位症腹腔镜术后复发的相关危险因素分析[J].中国卫生统计,2015,32(1):86-87.