Influence Factor Analysis of Postoperative Pregnancy in Patients of Endometriosis Associated Infertility after Laparoscopy Combined with Hysteroscopy Treatment
- VernacularTitle:宫-腹腔镜联合治疗子宫内膜异位症合并不孕患者术后妊娠的影响因素分析
- Author:
Hongxue LIU
;
Jian LI
;
Ping LUO
- Keywords:
Endometriosis;
Infertility;
Pregnancy rate;
Influence factors;
Laparoscopy combined with hysteroscopy treatment
- From:
Journal of Practical Obstetrics and Gynecology
2017;33(2):144-147
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influence factors of postoperative pregnancy in patients of endometriosis associated infertility after laparoscopy combined with hysteroscopy treatment.Methods:340 patients with endometriosis associated infertility who underwent laparoscopy combined with hysteroscopy treatment in Maternal and Child Health Care Hospital of Xiamen from April in 2012 to April in 2014 were followed up for 18 ～ 42 months to assess fertility outcomes.The relative factors of postoperative pregnancy rate were analyzed.Results:85.88％ (292/340) of patients were followed up,and the overall postoperative pregnancy rate was 56.51％.Among which the postoperative pregnancy caseswere 115 cases (39.38％),40 cases (13.70％),8 cases (2.74％),2 cases (0.68％) in the 1 ～ 6 months,7 ～ 12 months,13 ～ 24 months,25 ～ 42 months,respectively.There were significant differences among the four groups(x 2 =11.76,P ＜ 0.05).The multy-factors analysis showed that age ≥35,infertility time ≥3,r-AFS stage relatively high were risk factors of postoperative pregnancy(OR =10.45,3.03,3.74,P ＜0.05),and secondary infertility,applying ovarian stimulation treatment were the protective factors of postoperative pregnancy(OR =0.23,0.33,P ＜ 0.05).Conclusions:Laparoscopy combined with hysteroscopy treatment can increase postoperative pregnancy rate,and the best time to pregnancy is the first one year after treatment.The age ≥35,infertility time≥3,r-AFS stage relatively high are the important causes for the postoperative infertility,while applying ovarian stimulation treatment can promote pregnancy rate.
