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中重度宫腔粘连分离术后影响妊娠率的多因素分析 被引量:9

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摘要 目的探讨影响中重度宫腔粘连(IUA)患者术后妊娠率的高危因素。方法湖州市妇幼保健院2012年1月-2014年2月确诊的中重度IUA患者86例,宫腔镜下宫腔粘连分离术(TCRA),其中有生育要求者55例,依据影响妊娠率的可能性因素进行回顾性对比分析。结果 >35岁IUA患者其妊娠率明显低于≤35岁患者(30.00%vs 62.86%),差异有统计学意义(P<0.05),>2次宫腔操作次数患者妊娠率明显低于≤2次患者(30.43%vs 65.62%),差异有统计学意义(P<0.05),>2次妊娠次数IUA患者妊娠率低于≤2次患者(38.89%vs 56.76%),但差异无统计学意义(P>0.05);重度IUA患者妊娠率明显低于中度IUA患者(30.00%vs 62.86%),差异有统计学意义(P<0.05),中央型及混合型IUA患者的妊娠率均明显低于周围型IUA患者(35.71%、40.00%vs 71.43%),差异有统计学意义(P<0.05),术后使用球囊子宫支架防止粘连患者的妊娠率高于使用IUD者(60.00%vs 48.00%),但差异无统计学意义(P>0.05)。结论患者年龄大、宫腔操作次数多、重度IUA、混合型及中央型IUA均是影响术后妊娠率的高危因素。
出处 《中国妇幼保健》 CAS 2015年第35期6397-6399,共3页 Maternal and Child Health Care of China
基金 浙江省湖州市科技计划项目〔2012YS19〕
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