宫、腹腔镜在女性不孕中微小子宫内膜异位症的临床研究

Clinical Study on Hysteroscopy-laparoscopy Surgery in the Treatment of slight EMT in Femal Infertility

目的探讨宫腹腔镜在微小子宫内膜异位症(EMT)不孕症患者中的诊断优势,分析术后疗效和妊娠率。方法回顾性分析2013年1月—2016年12月在该院因不孕症行宫腹腔镜联合诊治的176例子宫内膜异位症患者的临床资料,统计女性不孕症中EMT的发病率,术前漏诊率及微小和轻度EMT的发病率。结果女性不孕症中EMT的发病率36.30%,术前漏诊率23.86%,微小和轻度EMT的发病率26.70%,术后微型及轻型患者:妊娠率74.47%,复发率10.64%。中型及重型患者:妊娠率34.88%,复发率38.76%。术后妊娠率:与分期及患者年龄有关。结论微小和轻度EMT经宫腹腔镜治疗可获得良好的疗效和妊娠结局。

Objective To study the diagnostic value of hysteroscopy-laparoscopy in infertile patients with slight endometriosis(EMT),analyzed the curative effect and pregnancy rate.Methods Clinical data of 176 patients with EMT treated with hysteroscopy-laparoscopy surgery hospitalized in the hospital from January 2013 to December 2016 were analyzed retrospectively.The incidences of EMT in femal infertility,missed preoperative diagnosis and slight EMT were counted.Results Among the femal infertility,the incidence of EMT was 36.30%,23.86% in missed preoperative diagnosis and 26.70% in slight EMT.Among the patients with slight EMT,the pregnancy rate was 74.47%,recurrence rate was10.64%,but among the medium and severe patients,the pregnancy rate was 34.88%,recurrence rate was 38.76%.The postoperative pregnancy rate is related to the stage and age.Conclusion Patients with slight EMT treated with hysteroscopy-laparoscopy surgery can get satisfactory effect.