| 子宫内膜异位症不孕患者腹腔镜术后提高妊娠率方法及助孕时机选择 |
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| 引用本文： | 夏建妹,吴瑞瑾,徐开红,傅向红.子宫内膜异位症不孕患者腹腔镜术后提高妊娠率方法及助孕时机选择[J].中国实用妇科与产科杂志,2011(4). |
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| 作者姓名： | 夏建妹 吴瑞瑾 徐开红 傅向红 |
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| 作者单位： | 浙江大学医学院;浙江大学附属妇产科医院;浙江省衢州市人民医院; |
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| 基金项目： | 浙江省卫生厅科技计划项目(491050-w10730); 衢州市科技计划项目(20101067) |
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| 摘 要： | 目的探讨子宫内膜异位症不孕患者腹腔镜术后提高妊娠率的有效方法及助孕时机的选择。方法选择浙江大学附属妇产科医院2006年1月至2008年1月331例子宫内膜异位症不孕患者为研究对象,根据其腹腔镜术后不同治疗方案分组:A组(82例)腹腔镜术后未用药物直接试孕者;B组(81例)腹腔镜术后试孕1年及以上未孕接受辅助生育技术(ART)者;C组(90例)腹腔镜术后应用促性腺激素释放激素激动剂(GnRH-a)辅助治疗3个月后直接试孕者;D组(78例)腹腔镜术后应用GnRH-a辅助治疗3个月后接受ART者。分析患者的临床病理资料,并追踪随访24个月。结果Ⅲ、Ⅳ期子宫内膜异位症不孕患者在术后2年内,妊娠率A组32.7%(17/52),B组58.0%(29/50),C组45.2%(28/62),D组59.6%(31/52),A组显著低于B和D组(P<0.01);A组与C组妊娠率比较,C组与B、D组的妊娠率比较,B组与D组的妊娠率比较,差异均无统计学意义(P>0.05)。结论Ⅲ、Ⅳ期子宫内膜异位症不孕患者腹腔镜术后采用ART治疗可以有效提高妊娠率;术后是否需要药物预治疗以及ART选择时机应根据患者年龄、不孕年限、病情程度等差异而制...
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| 关 键 词： | 子宫内膜异位症 不孕症 辅助生殖技术 促性腺激素释放激素激动剂 |
The therapeutic method of the patients with endometriosis associated infertility after laparoscopic management |
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| XIA Jian-mei,WU Rui-jin,XU Kai-hong,FU Xiang-hong. Medical School of ZHE JIANG University,Hangzhou ,China.The therapeutic method of the patients with endometriosis associated infertility after laparoscopic management[J].Chinese Journal of Practical Gynecology and Obstetrics,2011(4). |
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| Authors: | XIA Jian-mei WU Rui-jin XU Kai-hong FU Xiang-hong Medical School of ZHE JIANG University Hangzhou China |
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| Institution: | XIA Jian-mei,WU Rui-jin,XU Kai-hong,FU Xiang-hong. Medical School of ZHE JIANG University,Hangzhou 310058,China |
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| Abstract: | Objective To discuss an effective method to improve pregnancy rate after laparoscopic management of endometriosis in an infertile population.Methods The clinical data of 331 infertility patients with endometriosis treated using laparoscopic surgery between Jan.2006 and Jan.2008 were analyzed.These patients were divided into 4 groups according to various protocols after their laparoscopic surgery.Group A(n=82): the patients tried to pregnancy directly after laparoscopic surgery.Group B(n=81):the patients wit... |
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| Keywords: | endometriosis infertility assisted reproductive technology GnRH-a |
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