宫、腹腔镜联合手术对子宫内膜异位症合并内膜息肉患者妊娠结局的影响(1)
【摘要】目的：探讨宫、腹腔镜联合手术对子宫内膜异位症合并内膜息肉患者的治疗效果。方法：采用回顾性分析法，选取2014年4月至2015年5月期间于我院接受宫、腹腔镜联合手术的120例子宫内膜异位症患者的临床资料，根据是否合并子宫内膜息肉将患者分为两组，内膜息肉组和非内膜息肉组，每组各60例患者。观察两组患者子宫内膜息肉发病特点和术后对妊娠情况的影响。结果：经过分析发现，子宫内膜息肉在单纯腹膜型DIE型、卵巢型及累及Douglas窝的深部浸润型内异症中发病率分别为28.33%(17/60)、21.67%(13/60)、48.33%(29/60)，三种类型子宫内膜息肉发生率之间比较有明显的差异(P<0.05)；息肉组术后自然妊娠率、临床妊娠率、分娩率分别为：31.67%、26.67%、25.00%，非息肉组自然妊娠率、临床妊娠率、分娩率分别为：35.00%、33.33%、26.67%，两组患者术后自然妊娠率、临床妊娠率、分娩率之间没有明显的差异(P>0.05)；但是息肉组患者胚胎停育率明显高于对照组(P<0.05)。结果：经宫腹腔镜联合手术治疗后，子宫内膜异位症合并子宫内膜息肉与不合并息肉患者相比，在妊娠结局上易并发胚胎停育，可考虑术后辅助药物治疗，改善妊娠结局。
【关键词】宫、腹腔镜联合手术；子宫内膜异位症；内膜息肉；妊娠结局
Effect of hysteroscopy combined with laparoscopy on the pregnancy outcome of patients with endometriosis and endometrial polypsWANG Junling1， LUO Shuhong2. 1. Department of Obstetrics and Gynecology， Huangshi Maternal and Children Health Care Hospital， Huangshi 435000， Hubei， China； 2. Department of Obstetrics and Gynecology， Huangshi Central Hospital， Huangshi 435000， Hubei， China
【Abstract】Objectives： To discuss the effect of hysteroscopy combined with laparoscopy on patients with endometriosis and endometrial polyps. Methods： A retrospective analysis on the clinical data of 120 endometriosis patients received hysteroscopy combined with laparoscopy in our hospital from April 2014 to May 2015 was conducted and divided into two groups， the polyp and non-polyps group， each group of 60 cases. The clinical characteristics and postoperative effects on pregnancy outcomes of the two groups were observed. Results： The incidence rate of endometrial polyps in pure peritoneum， ovaries and involving Douglas was 28.33 (17/60)， 21.67% (13/60) and 48.33% (29/60) respectively， with significant difference， P<0.05. The natural pregnancy rate， clinical pregnancy rate and parturition rate in polyp group were 31.67%， 26.67% and 25.00% respectively and those in the non- polyp group were 35.00%， 33.33% and 26.67% respectively. No significant difference in natural pregnancy rate， clinical pregnancy rate and parturition rate was found between the two groups， but the embryo damage rate in the polyp group was significant higher， P<0.05. Conclusion： After hysteroscopy combined with laparoscopy treatment， endometriosis patients with endometrial polyp is more likely to have embryo damage， and postoperative assisted drug therapy can be considered to improve the pregnancy outcome.
【Key words】Hysteroscopy combined with laparoscopy surgery； Endometriosis； Endometrial polyps； Pregnancy outcome (王军玲 罗淑红)
【关键词】宫、腹腔镜联合手术；子宫内膜异位症；内膜息肉；妊娠结局
Effect of hysteroscopy combined with laparoscopy on the pregnancy outcome of patients with endometriosis and endometrial polypsWANG Junling1， LUO Shuhong2. 1. Department of Obstetrics and Gynecology， Huangshi Maternal and Children Health Care Hospital， Huangshi 435000， Hubei， China； 2. Department of Obstetrics and Gynecology， Huangshi Central Hospital， Huangshi 435000， Hubei， China
【Abstract】Objectives： To discuss the effect of hysteroscopy combined with laparoscopy on patients with endometriosis and endometrial polyps. Methods： A retrospective analysis on the clinical data of 120 endometriosis patients received hysteroscopy combined with laparoscopy in our hospital from April 2014 to May 2015 was conducted and divided into two groups， the polyp and non-polyps group， each group of 60 cases. The clinical characteristics and postoperative effects on pregnancy outcomes of the two groups were observed. Results： The incidence rate of endometrial polyps in pure peritoneum， ovaries and involving Douglas was 28.33 (17/60)， 21.67% (13/60) and 48.33% (29/60) respectively， with significant difference， P<0.05. The natural pregnancy rate， clinical pregnancy rate and parturition rate in polyp group were 31.67%， 26.67% and 25.00% respectively and those in the non- polyp group were 35.00%， 33.33% and 26.67% respectively. No significant difference in natural pregnancy rate， clinical pregnancy rate and parturition rate was found between the two groups， but the embryo damage rate in the polyp group was significant higher， P<0.05. Conclusion： After hysteroscopy combined with laparoscopy treatment， endometriosis patients with endometrial polyp is more likely to have embryo damage， and postoperative assisted drug therapy can be considered to improve the pregnancy outcome.
【Key words】Hysteroscopy combined with laparoscopy surgery； Endometriosis； Endometrial polyps； Pregnancy outcome (王军玲 罗淑红)