电视腹腔镜手术治疗腹腔型和卵巢囊肿型子宫内膜异位症的效果分析

目的:探讨电视腹腔镜手术对子宫内膜异位症合并不孕患者的治疗效果,了解术后获得妊娠的时间分布特点。方法:收集自2 0 0 3年1月至2 0 0 4年10月在我院因不孕而接受电视腹腔镜手术治疗的子宫内膜异位症患者共12 8例,按腹膜型组和卵巢囊肿型组来分析其手术后妊娠率及获得妊娠的时间分布特点。结果:12 8例患者术后随诊10 6例,随访率为82 .81%。子宫内膜异位症合并不孕施行腹腔镜手术治疗后的总妊娠率为5 0 .0 0 % (5 3/ 10 6 ) ,其中腹膜型行电灼术后妊娠率为6 0 .0 0 % (42 / 70 ) ,卵巢囊肿型术后妊娠率为30 .5 6 % (11/ 36 ) ,二者比较,差异有显著性意义,p <0 .0 5。术后18个月内获得妊娠者占88.6 8% (47/ 5 3)。结论:电视腹腔镜手术集诊断和治疗于一体,对子宫内膜异位症合并不孕患者有一定治疗效果。如果患者术后一年半以上仍不怀孕,应采取其它辅助措施。

Efficacy of Video Laparoscopy in the Treatment of 128 Infertile Women with Endometriosis

Objective:To assess the efficacy of laparoscopic treatment in infertile wommen with endometriosis,and investigate the time perod of getting pregnancy after operation.Methods:128 infertile women with endometriosis underwent electrocoagulation or cystectomy according to the laparoscopic findings.According to perioneal indometriosis or ovarian chocolate cyst,the pregnant ratio and the distribution of getting pregnancy periods were analysed respectively.Results:106 patients were followed up after operation,the follow up ratio was 82.81%.The cumulative pregnancy rate was 50.00%.among all the followed up infertile women with endometriosis.The pregnancy rate was 60.00%.In the peritoneal indometriosis patients after laparoscopic electro-coagulation,while it was 30.56%,in patients with endometrioma after laparoscopic cystectomy(p<0.05)88.58% of women became pregnant within 18 months after operation.Conclusion:Laparoscopy has good effect on the patients with endometriosis.If the patients remain infertile 18 months after operation,we should suggest the patient take other assisted reproductive techniques.