CAJ | 학술논문

目的探讨子宫内膜息肉的数目、位置和大小与不孕症之间的关系.方法 108例子宫内膜息肉伴不孕症患者行官腔镜检查并行息肉切除和助孕,观察息肉个数、位置和大小和不孕之间的关系.结果输卵管开口息肉切除后的妊娠率明显高于后壁、前壁、侧壁(P＜0.01),后壁、前壁、侧壁组间差异无统计学意义(P＞0.05).多发息肉切除后子宫妊娠率明显高于单发息肉切除后子宫妊娠率(P＜0.05).单发性息肉中,直径＜ 5mm、5～10mm、11～20mm息肉切除后妊娠率差异无统计学意义(P＞0.05).息肉直径＞ 20 mm时妊娠率明显低于息肉直径＜20mm患者的妊娠率,差异有统计学意义(P＜0.05).结论息肉引起不孕与息肉的数目、位置和大小有一定的联系,应行官腔镜和针对性治疗,提高妊娠率.
목적 탐토자궁내막식육적수목、위치화대소여불잉증지간적관계.방법 108례자궁내막식육반불잉증환자행관강경검사병행식육절제화조잉,관찰식육개수、위치화대소화불잉지간적관계.결과 수란관개구식육절제후적임신솔명현고우후벽、전벽、측벽(P＜0.01),후벽、전벽、측벽조간차이무통계학의의(P＞0.05).다발식육절제후자궁임신솔명현고우단발식육절제후자궁임신솔(P＜0.05).단발성식육중,직경＜ 5mm、5～10mm、11～20mm식육절제후임신솔차이무통계학의의(P＞0.05).식육직경＞ 20 mm시임신솔명현저우식육직경＜20mm환자적임신솔,차이유통계학의의(P＜0.05).결론 식육인기불잉여식육적수목、위치화대소유일정적련계,응행관강경화침대성치료,제고임신솔.
Objective To explore the number,size and location of the endometrial polyps of infertile women.Methods 108 infertile women with endometrial polyps had hysteroscopy,polypectomy and assisted pregnancy,the number,location and size of polyp were observed to analyze their correlation with infertility.Results Pregnancy rate of uterine after tubal opening polypectomy was significantly higher than that of uterine after polypectomy of the rear wall,anterior wall,lateral wall (P＜0.01),and pregnancy rate of uterine after polypectomy of posterior wall,anterior wall,lateral wall had no significant difference (P＞0.05).Pregnancy rate of uterine after multiple polyps polypectomy was significantly higher than that of uterine after single polyps polypectomy (P＜0.05).In single polyps,pregnancy rate of patients with ＜5 mm,5～10 am,11～20 mm had no significant difference (P＞0.05).Pregnancy rate of patients with ＞20 mm was significantly lower than that of patients with ＜20 mm (P＜0.05).Conclusion The number,location and size of polyp can cause infertility,which should be treated with hysteroscopy and targeted therapy,and improve the pregnancy rate.