宫腔镜子宫内膜息肉切除后EP合并不孕患者的妊娠结局及影响因素分析

来源 :中国妇产科临床杂志 | 被引量 : 0次 | 上传用户:alan_w76
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目的观察宫腔镜子宫内膜息肉切除(TCRP)后患者的妊娠结局,并分析其影响妊娠的因素。方法回顾分析2012年5月至2013年5月在山东省聊城市妇幼保健院接受TCRP的90例患者,观察术后1年和2年时的妊娠例数、正常分娩例数、流产例数和早产例数。比较不同临床特征的子宫内膜息肉患者术后妊娠率的差异;采用Logist回归分析法分析影响患者术后妊娠率的因素。结果术后1年自然妊娠者18例,除流产2例,早产4例外,其余均正常分娩。术后2年自然妊娠者42例,其中除流产7例,早产6例,其余均正常分娩,2年内总妊娠率为66.67%;年龄≥30岁、合并糖尿病、息肉≥1 cm、多发及息肉位于宫角部或后壁者其术后妊娠率较低,差异有统计学意义(P<0.05),而不孕年限的长短对术后妊娠情况无明显影响(P>0.05);患者的年龄、息肉大小、息肉部位和息肉个数是影响患者术后妊娠的因素,OR值分别为4.632、3.264、5.124和4.860。结论宫腔镜切除子宫内膜息肉可明显提高患者的妊娠率,患者的年龄、息肉大小、部位和个数是影响术后妊娠率的重要因素。 Objective To observe the pregnancy outcome of patients after hysteroscopic endometrial polypectomy (TCRP) and analyze the factors affecting pregnancy. Methods A retrospective analysis of 90 patients with TCRP admitted to Liaocheng MCH in Shandong Province from May 2012 to May 2013 was conducted. The number of pregnancies, the number of normal deliveries and the number of miscarriage cases at 1 year and 2 years after operation were observed. The number of premature births. The differences of postoperative pregnancy rates between different clinical features of endometrial polyps were compared. The factors influencing the postoperative pregnancy rate were analyzed by Logistic regression analysis. Results 18 cases of natural pregnancy after 1 year, except 2 cases of abortion, 4 cases of premature delivery, the rest were normal childbirth. 42 cases of natural pregnancy after 2 years, of which 7 cases of abortion, premature delivery in 6 cases, the rest were normal childbirth, 2-year total pregnancy rate was 66.67%; age ≥ 30 years old, with diabetes, polyps ≥ 1 cm, multiple and polyps The postoperative pregnancy rate in the corner or posterior wall of the palace was lower, the difference was statistically significant (P <0.05), while the duration of infertility had no significant effect on postoperative pregnancy (P> 0.05) , The size of polyps, the number of polyps and the number of polyps were the factors influencing the postoperative pregnancy. The OR values ​​were 4.632, 3.264, 5.124 and 4.860 respectively. Conclusion Hysteroscopic resection of endometrial polyps can significantly improve the pregnancy rate of patients, the patient’s age, size, location and number of polyps is an important factor affecting postoperative pregnancy rate.
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