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目的探讨子宫内膜异位症患者术后妊娠情况及相关因素。方法选择2012年1月-2016年12月在杭州市第一人民医院采用腹腔镜手术治疗的150例子宫内膜异位症患者为研究对象。收集患者的年龄、不孕年限、病灶直径、部位、期别、不孕类型、痛经、妊娠情况等临床资料。结果子宫内膜异位症患者术后2年内妊娠率为34.0%,<6个月、6~12个月、12~18个月、18~24个月妊娠率比较,差异有统计学意义(P<0.05),6~12个月妊娠率最高,为14.7%。子宫内膜异位症术后妊娠率和年龄有关,≤25岁、26~29岁、≥30岁术后妊娠率分别为63.2%、30.0%、14.3%,各组比较,差异有统计学意义(P<0.05)。子宫内膜异位症术后妊娠率和病灶直径有关,病灶直径<3 cm、3~5 cm、>5 cm术后妊娠率分别为46.2%、40.5%、18.0%,三者之间比较,差异有统计学意义(P<0.05)。子宫内膜异位症术后妊娠率和子宫内膜异位症期别有关,Ⅰ期、Ⅱ期、Ⅲ期、Ⅳ期术后妊娠率分别为66.7%、63.6%、31.3%、9.3%,四者之间比较,差异有统计学意义(P<0.05)。子宫内膜异位症术后妊娠率和病灶部位有关,卵巢部位、其他部位、卵巢合并其他部位术后妊娠率分别为52.0%、40.5%、15.9%,三者之间比较,差异有统计学意义(P<0.05)。子宫内膜异位症术后妊娠率和不孕类型有关,继发不孕和原发不孕术后妊娠率分别为45.6%、26.9%,两者之间比较,差异有统计学意义(P<0.05)。子宫内膜异位症术后妊娠率和痛经无关(P>0.05)。结论子宫内膜异位症患者腹腔镜术后6~12个月妊娠率最高,子宫内膜异位症术后妊娠率与年龄、病灶直径、期别、病灶部位、不孕类型有关,与痛经无关。
Objective To investigate the postoperative pregnancy status and related factors in patients with endometriosis. Methods A total of 150 patients with endometriosis undergoing laparoscopic surgery at First People’s Hospital of Hangzhou from January 2012 to December 2016 were selected as the study subjects. Collect the patient’s age, duration of infertility, lesion diameter, location, stage, type of infertility, dysmenorrhea, pregnancy and other clinical data. Results The pregnancy rate of patients with endometriosis within 2 years after operation was 34.0%. There were significant differences in pregnancy rates between 6 months, 6 to 12 months, 12 to 18 months and 18 to 24 months P <0.05). The highest pregnancy rate was in 6 to 12 months (14.7%). The postoperative pregnancy rate of endometriosis was related to age, and the postoperative pregnancy rates of ≤25 years old, 26 ~ 29 years old and ≥30 years old were 63.2%, 30.0% and 14.3% respectively. There was significant difference between the groups (P <0.05). The postoperative pregnancy rate of endometriosis was related to the lesion diameter. The postoperative pregnancy rates of lesion diameter <3 cm, 3 ~ 5 cm, and> 5 cm were 46.2%, 40.5% and 18.0% respectively. The difference was statistically significant (P <0.05). The postoperative pregnancy rate of endometriosis was not related to endometriosis. The postoperative pregnancy rates of stage Ⅰ, Ⅱ, Ⅲ, Ⅳ were 66.7%, 63.6%, 31.3%, 9.3% The four comparison, the difference was statistically significant (P <0.05). The postoperative pregnancy rate of endometriosis was related to the location of the lesion. The postoperative pregnancy rates of the ovary, other parts and other parts of the ovary were 52.0%, 40.5% and 15.9% respectively, with statistical differences Significance (P <0.05). The postoperative pregnancy rate of endometriosis was related to the type of infertility. The pregnancy rates of secondary infertility and primary infertility were 45.6% and 26.9%, respectively, with significant difference (P <0.05). The postoperative pregnancy rate of endometriosis was not related to dysmenorrhea (P> 0.05). Conclusion The pregnancy rate of patients with endometriosis from 6 to 12 months after laparoscopic surgery is the highest. The postoperative pregnancy rate of endometriosis is related to age, diameter of lesion, stage, lesion site and type of infertility, and dysmenorrhea Nothing to do