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目的:探讨子宫内膜异位合并不孕症影响术后妊娠的因素,为提高术后妊娠率提供帮助。方法:对2008年6月～2012年9月间在该院及外院行手术治疗的子宫内膜异位合并不孕症患者进行筛选得到113例,其中8例失访,对完成随访的105例患者的术后病例和随访资料进行统计学分析。结果:患者年龄、不孕症类型、不孕症病程、子宫内膜异位分期、是否用抗子宫内膜异位药,相应的术后妊娠率之间差异有统计学意义(P<0.05);其中年龄、不孕症类型、不孕症病程是影响术后患者妊娠的主要因素。结论:对该病患者要根据年龄、不孕症类型和不孕症病程制定个体化治疗方案,同时考虑子宫内膜异位分期和术后用药,进而提高术后妊娠率。
Objective: To explore the factors that affect the postoperative pregnancy in patients with endometriosis complicated with infertility and to provide assistance in improving the postoperative pregnancy rate. Methods: From June 2008 to September 2012, 113 patients with endometriosis complicated with infertility were screened in the hospital and in the outpatient hospital. Among them, 8 patients were lost to follow-up, and 105 patients were followed up Postoperative patients and follow-up data for statistical analysis. Results: There was significant difference between the age of patients, the type of infertility, the course of infertility, the stage of endometriosis, the anti-endometriosis, the corresponding postoperative pregnancy rate (P <0.05) ; Of which age, infertility type, infertility course of pregnancy is the main factor affecting postoperative patients. Conclusion: According to the age, type of infertility and the course of infertility, we should formulate the individualized treatment plan, taking into account the endometriosis staging and postoperative medication, and then improve the postoperative pregnancy rate.