摘要
目的:探讨子宫内膜异位症严重程度与输卵管通畅情况、手术治疗后妊娠率的相关情况。方法:选取我院2008年1月至2011年12月妇产科收治的子宫内膜异位症确诊患者214例,根据RASF评分进行分期,对各组患者输卵管通畅检查结果与术后治疗后的妊娠情况进行分析。结果:轻度子宫内膜异位症相比中度、重度子宫内膜异位症的输卵管通畅率均明显较高(P<0.05),输卵管通畅率与子宫内膜异位症RASF分期相关(P<0.05)。中重度子宫内膜Ⅲ、Ⅳ期术后妊娠率相比轻度子宫内膜异位Ⅰ、Ⅱ期患者显著提高(P<0.05)。术后妊娠率与子宫内膜异位症RASF分期相关(P<0.05)。结论:子宫内膜异位症程度较轻的患者输卵管通畅情况优于中重度患者,Ⅲ、Ⅳ期子宫内膜异位症患者导致的不孕与输卵管通畅存在相关性,而Ⅰ、Ⅱ期不孕与输卵管通畅不存在相关性。
Objective：To investigate the severity of endometriosis with the effect of tubal patency , and relevance conditions of pregnancy rate after operation treatment .Method：214 patients with endometriosis di-agnosed in our hospital from Jan .2008 to Dec.2011 were treated , according to the RASF scoring stage , pregnant fallopian tube patency tests and conditions of postoperative treatment of patients in each group were analyzed .Result：Tubal patency rate of mild endometriosis was significantly higher than that of moderate en-dometriosis and severe endometriosis （P ＆lt;0.05）, fallopian tube patency rate was related to endometriosis and RASF stage （ P ＆lt;0.05） .Moderate to severe endometrial Ⅲ,Ⅳpostoperative pregnancy rate compared to the mild endometriosis I , II patients increased significantly （ P ＆lt;0.05） .The postoperative pregnancy rate was related to endometriosis RASF stage （ P ＆lt;0.05） .Conclusion：Endometriosis patients with mild degree of fallopian tubal patency is better than patients with moderate to severe , infertility with fallopian of III , IV patients caused by endometriosis is related to fallopian tube patency , and stage I , II infertility has nothing to do with fallopian tube patency .
出处
《河北医学》
CAS
2014年第3期398-400,共3页
Hebei Medicine
