腹腔镜治疗子宫内膜异位症合并不孕患者术后妊娠影响因素分析

Analysis of Factors Influencing Postoperative Pregnancy in Patients with Endometriosis and Infertility Treated by Laparoscopy

目的分析影响子宫内膜异位症合并不孕患者腹腔镜手术后妊娠的因素。方法根据回顾性分析方法,方便选取2014年5月-2017年4月在该院就诊的60例子宫内膜异位合并不孕症患者作为研究对象。统计患者术后2年妊娠情况,并根据多因素回归分析总结影响患者术后妊娠的原因。结果术后2年,患者临床妊娠35例,妊娠率为58.33%;其中26例为自然妊娠,占43.33%。经logistic回归分析显示,年龄、是否合并子宫肌腺病、病情分期、术后用药、术后是否接受辅助生殖技术是影响患者术后能否妊娠的主要原因。结论对于子宫内膜异位症合并不孕患者来说,腹腔镜术后还存在多种影响妊娠的因素,因而要更加客观的判断生殖预后。

Objective To analyze the factors affecting pregnancy after laparoscopic surgery in patients with endometriosis and infertility.Methods According to the retrospective analysis method,60 patients with endometriosis and infertility who were treated in our hospital from May 2014 to April 2017 were convenient studied.The patient's 2 years postoperative pregnancy was counted,and the causes of postoperative pregnancy were summarized based on multivariate regression analysis.Results 2 years after operation,the patient had 35 cases of pregnancy,and the pregnancy rate was 58.33%.Among them,26 cases were natural pregnancy,accounting for 43.33%.Logistic regression analysis showed that age,whether with uterine adenomyosis,stage of disease,postoperative medication,and whether or not to receive assisted reproductive technology after surgery were the main reasons that affected the postoperative pregnancy.Conclusion For patients with endometriosis and infertility,there are many factors affecting pregnancy after laparoscopic surgery,so it is necessary to judge reproductive prognosis more objectively.