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1、了宫内膜异位症伴不孕98例临床分析［摘耍］冃的：探讨彫响子宫内膜升位症(内界症)伴不孕治疗效果的相关因素。方法：对木院98例了宫内膜异位症伴不孕患者的临床资料进行系统性回顾。结果：98例患者中，子宫内膜异位症I〜II期57例,III〜IV期41例;原发不孕39例,继发不孕59例,均顺利完成腹腔镜手术。术中亚甲蓝通液检查至少一侧输卵管通畅96例，双侧梗阻2例，进行输卵管再通术。随访时间6〜24个月。术后成功妊娠39例，妊娠率达39.8%。妊娠率I〜II期高于III〜IV期(P〈0・05),继发不孕明显高于原发不孕(P〈0.05)。复发6例，I〜
2、II期1例，III〜IV期5例。结论：对于了宫内膜异位症伴不孕患者，腹腔镜是提高妊娠率的有效治疗手段。术后妊娠率与了宫内膜异位症病变程度及不孕类别冇关，病变程度越高术后复发率越高。［关键词］了宫内膜异位症；不孕；妊娠率；腹腔镜［中图分类号］R711.71［文献标识码］A［文章编号11674-4721(2011)07(c)-049-02Clinicalanalysisofendometriosisassociatedwithinferti1ityin98casesHUANGGuifeng,MOXiuyingDepartmentofObstetr
3、icsandGynecology,MaternalandChildHealthHospitalofNanningCity,GuangxiZhuangAutonomousRegion,Nanning530011,China［Abstract］Objective:Toinvestigatetheimpactofendometriosis(endometriosis)withinfertiIitytreatmentrelatedfactors・Methods:Systematicreviewtheclinicaldataof98casesofend
4、ometriosisassociatedwithinfertility・Results:In98patients,57caseswereendometriosisI-II,41caseswereendometriosisIII"IV;39caseswereprimaryinfertility,59casesaresecondaryinfertility,theyweresuccessfullycompletedlaparoscopicsurgery.Atthesametime,usedgeneralsolutiontechniquewitht
5、hemethylenebluecheckthetubal,96patientshadatleastonesidesmooth,fallopiantuberecanalizationwasusedin2casesofbilateraltubalobstruction.Theywerefollowedupfor624months.39casessuccessfulpregnanted,thepregnancyratewas39.8%.EndometriosisI-IIhadhigherpregnancyratethanlll-IV(P<0-05)
6、,secondaryinfertilitywassignificantlyhigherthanprimaryinfertility(P<0.05).6caseswererecrudesced,1casewasI-II,5caseswerelll-IV.Conelusion:Forpatientswithendometriosisassociatedwithinfertility,laparoscopyisaneffectivetreatmenttoimprovepregnancyrate.Pregnancyratearerelatedwith
7、clinicalstageandinfertilitycategoriesandthehigherlesionsthehigherrelapserateaftersurgcry.［Keywords］Endometriosis;Infertilily;Pregnancy;Laparoscopic子宫内膜界位症(内界症)是指貝有牛长功能的子宫内膜组织(腺体和间质)岀现在子宫腔以外的身体其他部位并种植生长而产生的病变［1］,是临床常见的妇科疾病z—,其临床表现之一就是不孕。近年来了宫内膜异位症性不孕的发病率有逐年上升的趋势。木文对2007〜2009
8、年在本院进行诊治的子宫内膜异位症伴不孕98例患者的临床资料进行分析，探讨影响其治疗效果的相关因素。1资料与方法1.1一般资料选择2007年1刀〜2009年3刀因了宫
