Laparoscopic diagnosis and treatment of pelvic endometriosis clinical analysis of 172 cases of infertility.docVIP

 PAGE \* MERGEFORMAT 15 Laparoscopic diagnosis and treatment of pelvic endometriosis clinical analysis of 172 cases of infertility Study: Arts Zhu, Liang Ke, Luo Lan, Xiao-Fang Zhang [Abstract] Objective To observe the laparoscopic diagnosis and treatment of pelvic endometriosis (endometriosis) combined effect of infertility. Methods 172 cases of laparoscopic diagnosis of pelvic endometriosis patients, according to 1985 revised American Fertility Society The staging of endometriosis (r-AFS) staging, in which 32 patients in stage Ⅰ, Ⅱ of the 78 cases, Ⅲ of 44 cases, Ⅳ of 18 cases; in laparoscopic excision of ovarian endometriotic lesions and clay with decomposition, pelvic peritoneal endometriotic lesions and removal of peritoneal fluid coagulation and other surgery. were followed up for 36 weeks, of pregnancy were followed up to 20 weeks of pregnancy. compare different r-AFS staging and postoperative cumulative pregnancy rate abortion rate. Results After 36 weeks, 172 patients were 123 cases of pregnancy, 24 cases were stage Ⅰ (75.0%, 24/32), Ⅱ of 56 cases (71.8%, 54/78), Ⅲ of 31 cases ( 70.5%, 31/44) and stage Ⅳ in 12 cases (66.7%, 12/18). The statistical test, the cumulative pregnancy rate of patients, no significant difference between each period (Pgt; 0.05); after 24 weeks of the pregnancy rate (69.9%, 86/123) than after 25 to 36 weeks (30.1%, 37/123), P lt;0.01. Conclusion Laparoscopy can significantly improve the diagnosis of endometriosis; laparoscopic surgical treatment can improve pregnancy rate in patients with endometriosis. laparoscopic removal in peritoneal fluid and peritoneal endometriotic lesions were coagulation, can be more completely destroyed pelvic endometriotic lesions, especially on the period Ⅰ , Ⅱ patients with endometriosis during the restoration of fertility plays an important role. [Keywords:] Endometriosis; infertility; Laparoscopy; electric coagulation [Abstract] Objective To investigate the role of laparoscopy in diagn