Application of laparoscopic endometriosis fertility index in endometriosis infertility in
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摘要:
目的 分析腹腔镜下子宫内膜异位症生育指数在子宫内膜异位症(EMT)合并不孕中的应用效果。 方 法选取我院2011年1月~2013年6月收治的100例子宫内膜异位症合并不孕症患者,给予患者腹腔镜手术治疗,对患者进行子宫内膜异位症生育指数(EFI)评分,分析患者术后妊娠情况。 结果100例患者术后3年内有52例成功妊娠,总妊娠率为52%,术后第1年妊娠率为31%,第2年为16%,第3年为5%。EFI评分≤4分患者14例,3年内3例成功妊娠,妊娠率21.4%;5~8分患者49例,3年内21例成功妊娠,妊娠率42.9%;9~10分患者37例,3年内28例成功妊娠,妊娠率75.7%,EFI评分为9~10分患者妊娠率显著优于其他患者(P<0.05)。 结论腹腔镜下子宫内膜异位症生育指数是评价子宫内膜异位症合并不孕患者生育能力的重要指标,临床可根据EFI评分情况给予患者针对性治疗,提高患者妊娠率。 -
关键词:
- 腹腔镜 /
- 子宫内膜异位症生育指数 /
- 子宫内膜异位症合并不孕
Abstract:ObjectiveTo analyze the laparoscopic endometriosis fertility index in endometriosis (EMT) application results in infertility. Methods 100 cases of uterine endometriosis infertility hospital merger in January 2011 admitted in June 2013, to give patients the laparoscopic surgery for patients with endometriosis fertility index (EFI) score, analyze postoperative pregnancy. Results100 cases of patients after 3 years, 52 cases of successful pregnancies, the total pregnancy rate was 52% after the first year pregnancy rate was 31%, 16% the second year, third year is 5%. EFI score≤4 of 14 patients, three years, three cases of successful pregnancy, the pregnancy rate of 21.4%; 5-8 of 49 patients , three years, 21 cases of successful pregnancy, the pregnancy rate of 42.9%; 9-10 of 37 patients, 3 during the year 28 cases of successful pregnancy, the pregnancy rate 75.7%, EFI score 9-10 points pregnancy rate was significantly better than patients with other patients (P<0.05). Conclusions Laparoscopic Endometriosis fertility index is an important indicator of the evaluation of endometriosis patients with infertility fertility, clinical patient specific treatment may be given in accordance with EFI score circumstances, improves patient pregnancy. -
Key words:
- Laparoscopic /
- Endometriosis fertility index /
- Endometriosis infertility
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表 1 腹腔镜术后EFI评分与患者妊娠率相关性分析(3年内)
EFI 评分 n 妊娠/例 9~10 37 28(75.7) 5~8 49 21(42.9) ≤4 14 3(21.4) 9~10评分与5~8评分对比时卡方值为7.9723,P值为0.0047; 9~10评分与≤4评分对比时卡方值为10.3665,P值为0.0013; 5~8评分与≤4评分对比时卡方值为1.3089,P值为0.2526. 表 2 不同疾病类型患者术后EFI评分和妊娠率对比
疾病分型 n EFI 评分 妊娠/例 卵巢型 38 5.6±3.1* 21(55.3)* 盆腹膜型 24 6.1±3.4* 14(58.3)* 混合型 18 5.7±3.0* 8(44.4)* 盆腹腔粘连 12 6.2±2.8* 6(50.0)* 子宫腺肌瘤 8 5.8±3.6* 3(37.5)* *为两两对比P>0.05. -
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