子宫内膜异位症合并不孕症采取腹腔镜术后妊娠情况和相关因素分析

Endometriosis Complicated with Infertility was Analyzed by Laparoscope Postoperative Pregnancy and Related Factors

目的 分析子宫内膜异位症合并不孕症患者行腹腔镜术后的妊娠情况,并探讨相关的影响因素。方法 选取2019年1月—2021年1月就诊于江阴红房子妇产医院的子宫内膜异位症合并不孕症的患者150例,均行腹腔镜手术治疗,观察患者的妊娠情况,应用χ^(2)检验和t检验对患者术后妊娠情况的影响因素进行单因素分析,再应用logistic回归系数进行多因素分析。结果 术后2年妊娠的患者为92例,妊娠率为61.33%。年龄≥35岁、EMT分期为Ⅲ~Ⅳ期、不孕时长≥2年、输卵管不通畅、既往有盆腔手术史、既往有流产史、术后未使用排卵药和术后未规范用药是导致子宫内膜异位症合并不孕症患者行腹腔镜术后未妊娠的危险因素(P<0.05)。结论影响子宫内膜异位症合并不孕症患者行腹腔镜术后未妊娠的因素较多,故临床医师需根据患者的具体情况给予干预,以促进患者妊娠。

Objective To analyze the pregnancy status of patients with endometriosis complicated with infertility after laparoscopic surgery,and to explore the related influencing factors.Methods Start the study in January 2019,The study ended in January 2021.During the selected period,150 patients with endometriosis complicated with infertility were treated in Jiangyin Hongfangzi Obstetrics and Gynecology Hospital,all of whom underwent laparoscopic surgery.The pregnancy status of the patients was observed.Results 92 patients were pregnant two years after surgery,the pregnancy rate was 61.33%,the age was>35 years old,the EMT stage wasⅢ~Ⅳ,the infertility duration was 22 years,the fallopian tubes were not smooth,the history of pelvic surgery,the history of abortion,the postoperative ovulation drug was not used and the postoperative drug was not standardized,which resulted in no pregnancy in the patients with endometriosis complicated with infertility after laparoscopic surgery Risk factors of the patients(P<0.05).Conclusion There are many factors affecting the pregnancy of patients with endometriosis complicated with infertility after laparoscopic surgery,so clinicians need to give intervention according to the specific conditions of patients to promote pregnancy.