子宫内膜异位症生育指数在内异症腹腔镜术后指导生育的应用研究  

Application of endometriosis fertility index in endofertilization after endoscopic surgery

作　　者：梁惠虹 伍世端 伍凤群 张旗 LIANG Huihong;WU Shiduan;WU Fengqun;ZHANG Qixin(Zhaoqing District People's Hospital,Zhaoqing 526040,China)

机构地区：[1]肇庆市高要区人民医院,肇庆526040

出　　处：《广州医药》2018年第6期34-36,共3页Guangzhou Medical Journal

基　　金：肇庆市科技创新计划(2015040306)

摘　　要：目的研究子宫内膜异位症生育指数(EFI)评分对子宫内膜异位症(EMT)患者腹腔镜术后生育指导的应用价值。方法对2015年3月—2017年4月于我院进行腹腔镜手术治疗的76例EMT患者进行EFI评分,并依据其结果施加相应生育指导,随访2年观察患者术后妊娠情况。结果随访2年结果显示,76例患者共出现68例妊娠,且其妊娠率及自然妊娠率随EFI评分减少而降低,组间均有性差异(P<0.05);68例妊娠患者足月分娩率为76.47%,同时不同EFI评分患者不良妊娠结局比较,组间均无显著性差异(P>0.05)。结论腹腔镜手术能够提高EMT患者妊娠率及自然分娩率,同时可根据EFI评分,综合评估患者的生育状况,对于指导术后处理的选择以及指导后续治疗均有重要参考意义。Objective To study the application value of uterine endometriosis index(EFI)on the postoperative reproductive guidance of patients with endometriosis(EMT).Methods From March2015to April2017,76EMT patients in our hospital underwent laparoscopic surgery for EFI score.On the basis of corresponding guidance,the patients were followed up and observed for2years for results in postoperative pregnancies.Results The two-year follow-up period showed that there were68cases of pregnancy in76cases.Pregnancy rate and natural pregnancy rate decreased with the decrease of EFI score.There was a difference between the groups(P<0.05).The monthly delivery rate of68cases was76.47%.At the same time,there were no significant differences between the groups in the pregnancy outcomes of patients with different EFI scores(P>0.05).Conclusion Laparoscopic surgery can improve pregnancy rate and natural delivery rate of EMT patients.At the same time,according to the EFI score,comprehensive assessment of the patient's reproductive status is important for guiding the selection of postoperative treatment and for guiding follow-up treatment.

关 键 词：子宫内膜异位症 生育指数 腹腔镜 生育指导 

分 类 号：R713[医药卫生—妇产科学]