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目的:应用超声诊断评价子宫内膜异位症(内异症)合并原发不孕的治疗效果。方法:将306例内异症患者按声像图表现分为解剖正常、内在型、外在型及混合型4组。治疗后进行追踪观察及t检验。结果:内异症合并原发不孕的患者中,解剖正常及外在型组患者受孕率及活产率均明显高于文献报道。内在型及混合型组患者受孕率及活产率均很低。结论:利用超声诊断协助临床对内异症合并原发不孕患者进行治疗评价,具有指导作用,是临床诊断及观察治疗效果的最佳技术手段之一。
Objective: To evaluate the therapeutic effect of endometriosis (endometriosis) complicated with primary infertility by ultrasound diagnosis. Methods: The 306 patients with endometriosis were divided into four groups according to sonography: normal anatomy, internal type, extrinsic type and mixed type. After treatment, follow-up observation and t test. Results: Among patients with endometriosis complicated with primary infertility, the pregnancy rate and live birth rate of patients with normal and external anatomical groups were significantly higher than those reported in the literature. Intrinsic and mixed group of patients with conception rate and live birth rate are very low. Conclusion: The use of ultrasound diagnosis to assist clinical evaluation of endometriosis patients with primary infertility treatment evaluation, has a guiding role, is one of the best clinical diagnosis and treatment effect of the technical means.