摘要
目的:分析子宫内膜异位症(EM)不孕患者发生内膜息肉情况及病理特征。方法:收集本院2016年1月-2017年1月收治的不孕患者,EM 67例为观察组,非EM 82例为对照组,比较两组内膜息肉发生率,观察组r-AFS不同分期内膜息肉发生率、治疗后临床妊娠率,分析发生内膜息肉的病理特征。结果:观察组内膜息肉发生率(31.3%)及息肉复发率(11.9%)高于对照组(12.2%、2.4%)(P<0.05);观察组EMⅠ期患者内膜息肉发生率17.7%、无复发,Ⅱ期内膜息肉发生率32.0%、复发率8.0%,Ⅲ期内膜息肉发生率40.0%、复发率20.0%,Ⅳ期内膜息肉发生率40.0%、复发率30.0%,各期发生率及复发率比较无差异(P>0.05);卵巢型内膜息肉发生率25.0%、复发率10.0%,腹膜型内膜息肉发生率29.0%、复发率9.7%,DIE型内膜息肉发生率43.8%、复发率18.8%,EM不同病理类型内膜息肉发生率及复发率无差异(P>0.05)。结论:EM不孕患者发生内膜息肉几率较大,及时手术切除息肉可提高妊娠率,临床应及早诊断和治疗。
Objective:To analyze the situation of endometrial polyps of infertility women with endometriosis(EM),and to study the pathological characteristics of EM.Methods:67 infertility women with EM were selected in observation group,and 82 infertility women without EM were selected in control group from January 2016 to January 2017.The incidence of endometrial polyps of the women was compared between the two groups.In the observation group,the incidence of endometrial polyps of the women with different revised American fertility society(r-AFS)stages and the clinical pregnancy rate after treatment of the women were analyzed.The pathological characteristics of endometrial polyps of the infertile women with EM were also analyzed.Results:The incidence of endometrial polyps(31.3%)and the recurrence rate of endometrial polyps(11.9%)of the women in the observation group were significant higher than those(12.2%and 2.4%)of the women in the control group(P<0.05).The incidence of endometrial polyps of the women with r-AFSⅠstage in the observation group was 17.7%,but their endometrial polyps had no recurrence.The incidence of endometrial polyps of the women with r-AFSⅡstage in the observation group was 32.0%,and the recurrence rate of their endometrial polyps was 8.0%.The incidence of endometrial polyps of the women with r-AFSⅢstage in the observation group was 40.0%,and the recurrence rate of their endometrial polyps was 20.0%.The incidence of endometrial polyps of the women with r-AFSⅣstage in the observation group was 40.0%,and the recurrence rate of their endometrial polyps was 30.0%.There were no significant differences in the incidence and recurrence rate of endometrial polyps among the women with different r-AFS stages in the observation group(P>0.05).The incidence of endometrial polyps of the women with ovarian EM was 25.0%,and the recurrence rate of their endometrial polyps was 10.0%.The incidence of endometrial polyps of the women with peritoneum EM was 29.0%,and the recurrence rate of their endometrial polyps was 9.7%.The incidence of endometrial polyps of the women with DIE EM was 43.8%,and the recurrence rate of their endometrial polyps was 18.8%.There were no significant differences in the incidence and recurrence rate of endometrial polyps among the women with different pathological types of EM(P>0.05).Conclusion:The infertility women with EM have a high risk of endometrial polyps,and surgical treatment endometrial polyps timely can improve their pregnancy rate.It is suggested that early diagnosis and treatment for infertility women with EM should be conducted in clinical practice.
作者
陈咏
于月新
CHEN Yong;YU Yuexin(Peace Branch,Northern Theater General Hospital,Shenyang,Liaoning Province,110000)
出处
《中国计划生育学杂志》
2021年第1期171-174,共4页
Chinese Journal of Family Planning
关键词
不孕
子宫内膜异位症
内膜息肉
合并症
病理特征
复发
Infertility
Endometriosis
Endometrial polyps
Complication
Pathological characteristics
Recurrence
