微小或轻度子宫内膜异位症合并不孕症患者腹腔镜诊治的疗效分析  

Efficacy Analysis of Laparoscopic Surgery for the Diagnosis and Treatment of Infertile Women with Minimal and Mild Endometriosis

作　　者：光晓燕[1] 曾荔苹[1] 付敏[1] 于琳[1] 

机构地区：[1]北京大学深圳医院计划生育科,广东深圳518036

出　　处：《中国医药指南》2012年第32期409-410,共2页Guide of China Medicine

摘　　要：目的评价腹腔镜手术在微小或轻度子宫内膜异位症(EMT)合并不孕患者诊断治疗方面的价值。方法选取2009年7月至2011年7月间我院计划生育科所有以不明原因不孕收治入院病例128例,行腹腔镜手术,术中诊断为单纯EMTⅠ或Ⅱ期者为研究组(71例),正常盆腔者为对照组(48例),观察两组病例术后1年内妊娠情况。结果研究组妊娠率为49.3%(35/71),对照组妊娠率29.2%(14/48),研究组比对照组显著升高(P<0.05),差异有统计学意义。结论对于不明原因不孕症的患者应积极进行腹腔镜检查,及时诊断和治疗EMT。Objective To analysis laparoscopic efficacy for the diagnosis and treatment of infertile women with minimal and mild endometriosis （EMT）. Methods A retrospective study of 128 women with unexplained infertility was carried out. 71 women were diagnosed as minimal and mild EMT, 48 women were evaluated as normal pelvic cavity. Pregnant outcomes were followed up. Results The one-year pregnancy rate of the two groups was 49.3% and 29.2% respectively, The pregnancy rate of EMT group was significantly higher than the control group （P〈0.05） . Conclusion Unexplained infertile women should be checked by laparoscopy so EMT can be diagnosed and treated in time. Infertile women with minimal and mild EMT would benefit from laparoscopy.

关 键 词：子宫内膜异位症 不孕症 腹腔镜 妊娠率 

分 类 号：R711.71[医药卫生—妇产科学] R711.6[医药卫生—临床医学]