Evaluation of endometriosis fertility index in follow-up treatment of endometriosis combined with infertility patients after laparoscopic surgery
10.3760/cma.j.issn.0529-567x.2017.04.004
- VernacularTitle:子宫内膜异位症生育指数在腹腔镜手术后的子宫内膜异位症合并不孕患者中的应用价值
- Author:
Ruiya QIAN
;
Xia WU
;
Jie SHENG
;
Ping ZHENG
;
Qi ZHOU
;
Aihong DUAN
;
Jianping ZHANG
;
Yalan ZHANG
;
Dan LU
- Keywords:
Endometriosis;
Laparoscopy;
Infertility;
female;
Severity of illness index;
Clinical protocols;
Pregnancy rate;
Endometriosis fertility index
- From:
Chinese Journal of Obstetrics and Gynecology
2017;52(4):233-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of endometriosis fertility index (EFI) in guidance after laparoscopic surgery of endometriosis patients combined with infertility and to explore methods to improve pregnancy rate in different EFI groups. Methods A prospective research was done in endometriosis patients combined with infertility in Beijing Obstetrics and Gynecology Hospital from January 2010 to June 2011, after laparoscopic surgery, these 146 patients were divided into 3 groups by EFI score. Using different pregnancy guidance, these patients had 5 years follow-up. Results (1) The 5 years overall pregnancy rate was 89.0%(130/146). The pregnancy rate was 95.7%(45/47) in EFI≥9 group, 92.8%(77/83) in EFI 5-8 group and 8/16 in EFI≤4 group, three groups were all reach satisfactory pregnancy rate;the rate of the first two groups had no statistically significance (P=0.498), but had significant difference with the last group (P<0.01). (2) In EFI≥5 patients, pregnancy rate was the highest in 6 months after operation;in EFI≥9 group, the pregnancy rate was 66.7%(30/45), and EFI 5-8 group was 50.6%(39/77). (3) EFI≥9 group had the highest natural pregnancy rate [83.6% (46/55)], natural pregnancy rate was significant statistical different in different EFI groups (P=0.001). Conclusions EFI score is a useful evaluation in predicting and guiding pregnancy in endometriosis patients combined with infertility after laparoscopic surgery. EFI score guidance, strict post-operation management and positive pregnancy scheme could significantly improve the pregnancy rate of endometriosis patients with infertility.
