不孕症合并子宫肌瘤者实施子宫肌瘤剔除术的探讨

目的探讨不孕症合并子宫肌瘤者实施开腹和腹腔镜下子宫肌瘤剔除术在术后妊娠率上有无差异,以及影响术后妊娠率的因素。方法64例不孕症合并子宫肌瘤患者分为开腹组和腹腔镜组;术前子宫腔变形组和术前子宫腔未变形组;子宫肌瘤紧邻子宫内膜组和子宫肌瘤未紧邻子宫内膜组。随访观察术后妊娠情况,统计妊娠率。结果开腹组与腹腔镜组术后妊娠率差异无显著性;术前子宫腔变形组和术前子宫腔未变形组术后妊娠率差异有显著性;术前子宫肌瘤紧邻子宫内膜组和术前子宫肌瘤未紧邻子宫内膜组术后妊娠率差异有显著性。结论开腹施术和腹腔镜下施术在术后妊娠率上无明显差异;肌瘤的数目、大小对术后妊娠率无影响。宫腔形态改变和子宫肌瘤紧邻子宫内膜对妊娠影响较大,矫正后妊娠率明显上升。

The investigation of the uterine myomectomy on uterine myomas in infertile patients

Objective To investigate the differences in pregnancy rates between abdominal uterine myomectomy and laparoscopic uterine myomectomy,the factor in pregnancy rates.Methods 64 patients with uterine myoma were randomly divided into abdominal utrine myomectomy group and laparoscopic uterine myomectomy group;uterine cavity metamorphosis group and uterine cavity no metamorphosis group;uterine myomectomy near endometrium group and uterine myomectomy no near endometrium group.Pregnancy rates were observed after operation.(Results) There is no significant differences about pregnancy rates between abdominal uterine myomectomy group and laparoscopic uterine myomectomy group;there is significant differences about pregnancy rates between uterine cavity metamorphosis group and uterine cavity no metamorphosis group;there is significant differences about pregnancy rates between uterine myomectomy near endometrium group and uterine myomectomy no near endometrium group.Conclusion The number and size of uterine myomectomy did not affect pregnancy rates.Uterine cavity metamorphosis and uterine myomectomy near endometrium had statisticant differences on pregnancy rates,pregnancy rates become higher after(operation.)