子宫内膜异位症伴不孕患者腹腔镜术后妊娠效果观察

目的：分析子宫内膜异位症伴不孕患者腹腔镜保守性手术后影响妊娠的相关因素.方法：回顾性分析2010年12月至2012年12月因子宫内膜异位症合并不孕而接受腹腔镜保守性手术治疗的患者80例.结果：术后妊娠率为55.2％,继发不孕者术后妊娠率明显高于原发不孕,Ⅰ、Ⅱ期患者术后妊娠率高于Ⅲ、Ⅳ期患者,单纯卵巢子宫内膜异位囊肿妊娠率高于囊肿合并有盆腔其他部位病灶和仅有盆腔其他部位病灶患者,子宫内膜异位症伴不孕患者术后加用GnRH-a治疗组术后妊娠率高于未用药组（P＜0.01,P＜0.05）.结论：手术能提高子宫内膜异位症妊娠率,输卵管通畅情况、内异症分期及内异症部位和术后是否用药影响内异症不孕患者腹腔镜术后的妊娠率.

Clinical study of pregnancy rate of the endometriosis patients combined with infertility after laparoscopic surgery

Objective ： To ana tients combined with infert yze lity the factors correlated to the pregnancy rate of the endometriosis pa after laparoscopic surgeries. Methods： A total of 80 patients with endometriosis-related infertility who received laparoscopic surgeries in our hospital from December of 2010 to December of 2012 were retrospectively analyzed. Results： The overall post-operative pregnancyrate was 55.2%. Secondary infertile patients had a higher pregnancy rate than the primary infertile patients. Patients with stage Ⅰ-Ⅱ endometriosis and infertility patients had a higher pregnancy rate than those with stage Ⅲ-Ⅳ. Patients with simple ovarian endometrioma had higher pregnancy rate than those combined with other endometrioma or only with simple peritoneal endo- metriosis . Endometriosis-related infertile patients performed post-operative GnRH-a treatment had higher pregnancy rate than those with no medication treatment （P〈0.01,P〈0.05）. Conclusion. Pregnancy rate of the endometriosis-related infertility can be improved by laparoscopic surgery. Tubal patency, endometriosis staging, the parts of endometriosis and postoperative medication treatment are the related factors affecting pregnancy rate after laparoscope in infertile patients with endometriosis.