CAJ | 학술논문

目的：探讨子宫内膜息肉不孕患者行宫腔镜治疗后的自然妊娠状况。方法：回顾性分析宫腔镜手术治疗的76例子宫内膜息肉合并不孕症患者的临床资料，并随访其自然妊娠状况。结果：76例患者中术后18个月内自然妊娠51例，自然妊娠率为67.11％，其中术后6个月内自然妊娠率为84.31％；术后妊娠组年龄明显低于未妊娠组，差异有统计学意义（P ＜0.05），而两组在不孕年限、子宫内膜息肉类型比较均无统计学意义（P ＞0.05）。结论对于无其他原因引起不孕的子宫内膜息肉患者来说，宫腔镜治疗可以明显提高患者术后自然妊娠率，年龄越小则术后自然妊娠的成功率越高，且术后6个月是妊娠的最佳时间。
목적：탐토자궁내막식육불잉환자행궁강경치료후적자연임신상황。방법：회고성분석궁강경수술치료적76례자궁내막식육합병불잉증환자적림상자료，병수방기자연임신상황。결과：76례환자중술후18개월내자연임신51례，자연임신솔위67.11％，기중술후6개월내자연임신솔위84.31％；술후임신조년령명현저우미임신조，차이유통계학의의（P ＜0.05），이량조재불잉년한、자궁내막식육류형비교균무통계학의의（P ＞0.05）。결론대우무기타원인인기불잉적자궁내막식육환자래설，궁강경치료가이명현제고환자술후자연임신솔，년령월소칙술후자연임신적성공솔월고，차술후6개월시임신적최가시간。
Objectives:To investigate the natural pregnancy status of endometrial polyps patients with infer-tility after hysteroscopic treatment.Methods:Clinical data of 76 endometrial polyps patients with infertility treated by hysteroscopy was retrospectively studied and the patients were followed up on natural pregnancy status.Results:among 76 patients,there were 51 people with naturally pregnant within 18 months after surgery.The natural preg-nancy rate was 67.11% and that was 84.31% within 6 months after surgery;the age in pregnancy group was signifi-cantly lower than that in the non -pregnant group and the difference was statistically significant (P <0.05).But there was no statistically significant difference in the duration of infertility and endometrial polyp type of the two groups (P >0.05).Conclusions:For endometrial polyps patients with infertility,hysteroscopic treatment can sig-nificantly improve postoperative natural pregnancy rate.The younger patients are,the more success rates after sur-gery will be achieved.The best time for pregnancy is within six months after the surgery.