三种不同病因不孕症患者黄体血肿发生情况比较

目的 :比较 3种不同病因的不孕症患者黄体血肿的发生情况。方法 :回顾性分析了行排卵监测的不孕妇女2 4 0例 ,根据其不孕病因分为 3组 ,子宫内膜异位症组 77例 ,慢性盆腔炎组 (盆腔粘连、结核 ) 4 8例 ,对照组 (女方无明显异常的不孕妇女 ) 115例。比较此 3组患者的黄体血肿发生情况。结果 :子宫内膜异位症组、慢性盆腔炎组、对照组黄体血肿发病率分别为 2 7.2 %、16 .7%、0 .87% ,前两组高于第 3组 ,差异具有非常显著性 (P <0 .0 1)。子宫内膜异位症组黄体血肿发生率高于慢性盆腔炎组 ,但差异无显著性。子宫内膜异位症组与慢性盆腔炎组黄体血肿的直径、黄体血肿形成前卵泡的直径差异无显著性。结论 :子宫内膜异位症和慢性盆腔炎患者黄体血肿的发生率较高 ,诊断为子宫内膜异位症或慢性盆腔炎 (盆腔粘连或结核 )的不孕患者 ,如排卵监测时出现黄体血肿 ,可作为选择腹腔镜检查与手术的参考因素之一。

Comparison of Prevalence of Luteal Hematocele in Three Kinds of Infertile Women

Objective:To compare the prevalence of luteal hematocele in three kinds of infertile women.Methods:240 infertile women who underwent ovulation supervision were retrospectively analyzed in our HRT center.They were divided into three groups according to their infertile etiology:77 cases in endometriotic group,48 cases in chronic pelvic inflammatory disease(PID)(pelvic adherence or tuberculosis),and 115 cases in control group(caused by male factor without female infertile abnormality).The incidence of luteal hematocele in these three groups was compared.Results:The incidence of luteal hematocele in endometriotic group,PID group,and control group was 27.3%,16.7%,and 0.87%,respectively.That was significantly higher in the former groups than that in control group(P<0.01).The incidence of luteal hematocele in endometriotic group was higher than that of the PID group,and the difference hadn't significant.The diameter of luteal hematocele and size of developing follicle former to luteal hematocele had no difference between these two groups.Conclusions:The incidence of luteal hematocele in endometriotic and PID group is higher.For the infertile patients with endometriosis and/or PID,it's a referential indication for laparoscopy examination if appears luteal hematocele by ultrasound monitoring.