摘要
目的探讨腹腔镜下子宫内膜异位症生育指数(EFI)对子宫内膜异位症(EMT)合并不孕患者生育能力的临床评价。方法对海南省农垦那大医院妇科2009年6月至2012年12月收治的EMT合并不孕的112例患者的临床资料进行回顾性分析,按照EFI的评分标准进行评分,并对患者术后3年的妊娠率进行随访。结果通过电话随访112例患者术后第1、2、3年的妊娠率分别为36.6%、14.3%和3.6%,患者术后第1年的妊娠率(37.5%)显著高于术后第2年(14.3%)和术后第3年(3.6%),差异有统计学意义(P<0.05);术后第2年的总妊娠率(14.3%)显著高于术后第3年(3.6%),差异有统计学意义(P<0.05)。结论腹腔镜下EFI对EMT合并不孕患者的生育力能够较好地进行评估,对于对指导术后处理的选择以及指导后续治疗有重要的参考意义。
Objective To study the clinical evaluation of laparoscopic endometriosis fertility index （EFI） on fertility of patients with endometriosis combined with infertility. Methods A retrospective analysis on clinical data of 112 patients with endometriosis combined with infertility from Department of Gynecology in Nongken Nada Hospital during Jun. 2009 and Dec. 2012 was done. EFI score was given according to the rating standard and 3 years follow-up after operation about patients＇ pregnancy rate was done. Results By the telephone follow-up of 112 patients,their pregnancy rate in three years after operation in the first,second and third year was 36.6% , 14.3% and 3.6%, compared between groups. The first year pregnancy rate （37.5%） was significantly higher than the second year （14.3%） and third year （3.6%） , the difference was statistically significant（ P 〈 0.05 ） ; the second year pregnancy rate （ 14.3% ） was significantly higher than the third year（3.6% ）, the difference was statistically significant （ P 〈 0.05 ）. Conclusion Laparo- scopic EFI could effectively evaluate the fertility of patients with endometriosis combined with infertility, and it has significant reference value for guiding the treatment choice after operation and subsequent therapy.
出处
《医学综述》
2014年第7期1327-1328,共2页
Medical Recapitulate
