生育指数评分对子宫内膜异位症腹腔镜术后妊娠方式的预测能效  

Predictive value of endometriosis fertility index in the pregnancy modes of endometriosis patients after the laparoscopic surgery

作　　者：丁亚兰[1] 吴卫卫[2] 纪丽伟[1] DING Yalan;WU Weiwei;JI Liwei(Department of Obstetrics and Gynecology,Suzhou Jiulong Hospital Affiliated to Medical College of Shanghai Jiaotong University,Jiangsu Province,Suzhou 215000,China;Department of Obstetrics and Gynecology,Jiaxing Maternity and Child Health Care Hospital,Zhejiang Province,Jiaxing 314001,China)

机构地区：[1]上海交通大学医学院附属苏州九龙医院妇产科,江苏苏州215028 [2]浙江省嘉兴市妇幼保健院妇产科,浙江嘉兴314001

出　　处：《中国医药导报》2019年第29期88-91,共4页China Medical Herald

基　　金：江苏省妇幼健康科研项目（F2015126）

摘　　要：目的探究子宫内膜异位症生育指数(EFI)评分对子宫内膜异位症(EMT)患者术后妊娠方式的预测效能。方法选取2013年1月~2015年12月上海交通大学医学院附属苏州九龙医院收治的行腹腔镜治疗的EMT合并不孕症患者98例。参照r-AFS分期标准,将患者分为4期,观察3年内患者的自然妊娠情况。采用EFI评分系统对患者生育能力进行评估,观察不同评分的患者3年内自然妊娠情况。同时分析EMT患者术后3年内的妊娠情况且与r-AFS分期和EFI评分的相关性;ROC曲线分析EFI评分对EMT合并不孕症患者术后妊娠方式的预测价值。结果EMT合并不孕症患者自然妊娠率随术后时间的延伸呈线性降低趋势(P<0.05),随r-AFS分期的增加呈线性降低趋势(P<0.05);且EMT患者术后3年内自然妊娠率与EFI评分呈正相关(rs=0.529,P<0.01);ROC曲线分析结果显示,EFI评分的ROC曲线下面积为0.723,且预测临界值为8.09分时,敏感度为68.26%,特异度为52.64%。结论EFI评分对EMT合并不孕症患者术后自然妊娠具有较高的预测效能。Objective To investigate the predictive value of endometriosis fertility index(EFI)in the pregnancy modes of endometriosis(EMT)patients after the laparoscopic surgery.Methods From January 2013 to December 2015,98 endometriosis patients who underwent laparoscopic surgery in Suzhou Jiulong Hospital Affiliated to Medical College of Shanghai Jiaotong University were selected.According to the r-AFS staging standard,patients were divided into four stages and their natural pregnancy was observed within 3 years.EFI scoring system was used to evaluate the fertility of the patients,and their natural pregnancy was observed within 3 years in different groups.At the same time,the relationship between pregnancies after EMT with the r-AFS stage and EFI score was analyzed.The ROC curve was used to analyze the predictive value of EFI score for pregnant modes of EMT infertility patients after operation.Results In EMT infertility patients,the natural pregnancy rate decreased linearly with the increase of r-AFS stage(P<0.05).The rate of natural pregnancy within 3 years after operation was positively correlated with EFI score(rs=0.529,P<0.01).Moreover,ROC curve analysis results showed that the area under the ROC curve of EFT score was 0.723.When the critical value of pregnancy predicted was 8.09 scores,the sensitivity was 68.26% and the specificity was 52.64%.Conclusion EFI score has a high predictive effect on the natural pregnancy after EMT infertility operation.

关 键 词：子宫内膜异位症生育指数 子宫内膜异位症 腹腔镜 自然妊娠 

分 类 号：R711.71[医药卫生—妇产科学]