促排卵对提高子宫内膜异位症术后妊娠率的疗效观察  

Laparoscopy combined inducing ovulation induction in treatment of infertile women with endometriosis

作　　者：陈华莲[1] 唐淼[1] 张鹏飞[2] 

机构地区：[1]湖南省怀化市中医院,湖南怀化418000 [2]中南大学湘雅医院,湖南长沙410008

出　　处：《中国内镜杂志》2009年第7期750-752,755,共4页China Journal of Endoscopy

基　　金：湖南省自然科学基金(07JJ5031)

摘　　要：目的评价腹腔镜手术后积极行促排卵治疗对提高子宫内膜异位症患者妊娠率的疗效。方法选取100例子宫内膜异位症合并不孕患者,进行腹腔镜下异位病灶电凝术、卵巢子宫内膜异位囊肿剥除术、粘连分离术、输卵管通液术等,所有患者术后均予GnRHa药物治疗3个月,月经复潮后将患者随机分为两组:实验组(50例)予以促排卵治疗;对照组(50例)不予促排卵治疗。结果实验组术后1年总妊娠率为54%高于对照组的34%。结论腹腔镜可诊断、治疗各期子宫内膜异位症及其引起不孕症的盆腔因素;术后辅以辅助排卵治疗,可为不孕症患者提供更多的妊娠机会。[Objective] To study the role of laparoscopy combined ovulation induction in the treatment of infertile women with endometriosis（EMs）. [Methods] Totally 100 cases of EMs complicated with infertility were included into the study. Laparoseopic treatment included endocoagulation of pelvic endometriosis lesions, excision of ovarian endometriosis lesions, lysis of adhesions and hydrotubation. After Laparoscopic treatment, they were divided into two groups： the experiment group （50 eases） which was combined with ovulation induction and the control group （50 cases） which was not. The endometriosis recurred and the pregnancy rate was analyzed. [Results] The pregnancy rate of experiment group （54%） was higher than that of the control group （34%, P〈0.05）. [Conclusion] With laparoscopic surgery combined with postoperative ovulation induction, the infertile women with endometriosis can have more pregnancy chance without increase of recurrence risk.

关 键 词：腹腔镜 子宫内膜异位症 促排卵 

分 类 号：R711.6[医药卫生—妇产科学]