摘要
目的探究子宫肌瘤所致不孕症患者经腹腔镜子宫肌瘤剔除术对妊娠的影响。方法回顾性分析78例子宫肌瘤致不孕患者临床资料,内容包括子宫肌瘤的具体情况、手术情况、术后妊娠情况等。结果 60例在36个月内成功妊娠,其中早产2例,流产8例,其余50例均足月产,其中阴道分娩有28例,剖宫产有22例;单因素分析为患者年龄超过30岁、盆腔有粘连、不孕时间超过3年、宫腔形态异常能够明显降低妊娠成功率,对比结果差异有统计学意义(P<0.05)。结论采用腹腔镜下子宫肌瘤剔除术对于治疗不孕症的效果较好,影响患者术后妊娠成功率的主要因素为患者年龄超过30岁、盆腔有粘连、不孕时间超过3年、宫腔形态异常。
Objective To explore the infertility caused by uterine fibroids patients with laparoscopic myomectomy during pregnan-cy influence. Methods a retrospective analysis of 78 cases of infertility caused by uterine fibroids clinical data, the specific situa-tion, operation situation, operation include uterine fibroids after pregnancy etc. Results 60 cases within 36 months of successful pregnancy, including 2 cases of premature labor, abortion 8 cases, the other 50 cases were full-term vaginal delivery, including 28 cases of cesarean section, 22 cases; single factor analysis for patients over the age of 30 years, pelvic adhesion, the duration of infertility for more than 3 years, form palace cavity abnormalities can significantly reduce the pregnancy success rate, the comparison results with statistical significance （P〈0.05）. Conclusion the laparoscopic myomectomy for infertility treatment effect is better, the main factors influencing postoperative pregnancy rate for patients over 30 years of age, pelvic adhesion, the duration of infertility for more than 3 years, the palace cavity abnormal morphology.
出处
《中外医疗》
2015年第4期36-37,共2页
China & Foreign Medical Treatment
