子宫内膜息肉宫腔镜术后妊娠状态相关影响因素的临床研究.pdfVIP

· · 临床研究 子宫内膜息肉宫腔镜术后妊娠状态相关影响因素的临床研究 蔡莹莹 （浙江省温岭市中医院妇产科，浙江温岭 317500） [ 摘要 ] 目的 评估子宫内膜息肉合并不孕患者宫腔镜术后的妊娠状况的相关影响因素。方法 通过对 2007 年 1 月～ 2009 年 6 月就诊于温岭市中医院妇产科的不孕患者 152 例进行回顾性分析。结果 在 152 例患者中总的妊娠率为 65.79%，其 中术后 6 个月内妊娠率为 51.32%。Logistic 多因素回归分析年龄、不孕年限、不孕类型以及息肉类型等因素对术后自然 妊娠率的影响，结果显示在年龄、不孕年限、不孕类型和息肉类型等多个指标中，年龄是唯一的影响因素，年龄越轻，术后 P ＞ 0.05）。结论 对于子宫 受孕几率越高。而不孕年限、不孕类型、息肉类型对术后自然妊娠率的影响均无统计学意义（ 内膜息肉为唯一不孕因素的育龄期妇女来说，尽早宫腔镜手术有助于术后自然妊娠率的提高，年龄越轻，术后受孕的成 功几率越高，且术后 6 个月内自然妊娠率较高。息肉类型、不孕类型、不孕年限并不影响宫腔镜电切割术后的自然妊娠 率。 [ 关键词 ] 宫腔镜 / 子宫内膜息肉切除；子宫内膜息肉；不孕；自然妊娠率 [ 中图分类号 ] R737.33 [ 文献标识码 ] B [ 文章编号 ] 1673-9701（2011）27-38-03 Clinical Research on the Nature Pregnancy Status of the Patients with Endometrial Polyps after Treatment by Hysteroscopy Department of Obstetrics and Gynecology，Wenling City Hospital of TCM in Zhejiang Province，Wenling 317500，China [Abstract] Objective To investigate the the nature pregnancy status of the patients with endometrial polyps after treatment by Hysteroscopy. Methods All 152 patients with endometrial polyps in Wenzhou city hospital of TCM from January 2007 to June 2009 were selected for the retrospectively research. Results In all the 152 cases，the overall pregnancy rate was 65.79%，pregnancy rate within postoperative 6 months was 51.32%. Multivariate analysis showed that the age was a protective factor. Conclusion For the gestational age women which have the endometrial polyps as the only factor for infertility，the early hysteroscopic surgery can help improve the postoperative natural pregnancy rate. The more younger age， the higher probability of successful pregnancy，and the natural pregnancy rate within postoperat