论文部分内容阅读
目的了解盆腔子宫内膜异位症(EMs)术后妊娠结局及复发情况,指导术后受孕时间的选择及复发的监测。方法对344例患者两种手术治疗方式的结果进行随访调查。结果EMs腹腔镜术后的自然妊娠率(40·4%)显著高于经腹手术后的自然妊娠率(15·6%)(P<0·01),EMs腹腔镜术后的平均自然受孕时间9·2个月少于经腹术后的12·6个月(P<0·05),EMs腹腔镜术后的平均复发时间和经腹手术差异无显著性意义。结论腹腔镜检查仍是目前诊断和治疗EMs的最佳方法,对于EMs合并不孕的患者应重视术后12个月的最易受孕期。
Objective To understand the postoperative pregnancy outcome and recurrence of pelvic endometriosis (EMs) and to guide the selection of the postoperative conception time and the monitoring of recurrence. Methods The results of two surgical treatments of 344 patients were followed up. Results The natural pregnancy rate (40.4%) after laparoscopic EMs was significantly higher than that after transabdominal surgery (15.6%) (P <0.01). The average spontaneous conception after EMs laparoscopic surgery The duration of 9.2 months was less than 12.6 months after transabdominal surgery (P <0.05). There was no significant difference in mean recurrence time and transabdominal surgery after EM laparoscopic surgery. Conclusions Laparoscopy is still the best method to diagnose and treat EMs. Patients with EMs with infertility should pay attention to the most vulnerable period of 12 months after operation.