CAJ | 학술논문

目的：探讨子宫内膜异位症不孕患者腹腔镜术后对妊娠率的影响因素。方法选择2009年12月～2013年12月在本院就诊的子宫内膜异位症合并不孕患者80例为研究对象，经腹腔镜手术后，对比观察患者年龄、r-AFS分期、不孕年限、不孕类型、病程、既往盆腔手术史、术前术后用药及是否接受助孕等因素对术后妊娠率的影响。结果对比术后不同因素的影响，由Logistic回归分析可知，患者年龄、术前术后的药物治疗、术后接受助孕等因素对于术后妊娠率的影响明显，差异具有统计学意义（P <0.05）。结论年龄因素对于腹腔镜术后妊娠率的影响较大，配合药物治疗对于妊娠率的提高有显著作用。对于年龄偏大的患者，可以增强干预措施，如采用辅助生殖技术有助于患者受孕。
목적：탐토자궁내막이위증불잉환자복강경술후대임신솔적영향인소。방법선택2009년12월～2013년12월재본원취진적자궁내막이위증합병불잉환자80례위연구대상，경복강경수술후，대비관찰환자년령、r-AFS분기、불잉년한、불잉류형、병정、기왕분강수술사、술전술후용약급시부접수조잉등인소대술후임신솔적영향。결과대비술후불동인소적영향，유Logistic회귀분석가지，환자년령、술전술후적약물치료、술후접수조잉등인소대우술후임신솔적영향명현，차이구유통계학의의（P <0.05）。결론년령인소대우복강경술후임신솔적영향교대，배합약물치료대우임신솔적제고유현저작용。대우년령편대적환자，가이증강간예조시，여채용보조생식기술유조우환자수잉。
Objective To discuss the influence factors on the pregnancy of infertile patients with endometriosis after laparoscopic surgery.MethodsThe subjects of this research are 80 cases patients who diagnosed endometriosis associated infertility from December 2009 to December 2013 in our hospital. After laparoscopic operation, to compare and observe the effect of these factors on the postoperative pregnancy rate, including patients age, r-AFS stage,infertility duration, infertility type, course of disease, the past history of pelvic operation, preoperative and postoperative medication and whether to accept help pregnant. Results By the analysis of logistic regression, patients age, preoperative and postoperative drug treatment, to accept help pregnant after operation had obviously influence on postoperative pregnancy rate, differences had statistical significance( P < 0.05). Conclusion Age factor has greater influence on the postoperative pregnancy rate, drug therapy plays a significant role in improving pregnancy rate. We can enhance the intervention measures such as the use of assisted reproductive technology to help patients pregnancy for older patients.