Laparoscopic feature and its relationship with clinical manifestations in infertile women with endometriosis
10.3969/j.issn.1006-5725.2018.04.018
- VernacularTitle:不孕症合并子宫内膜异位症患者的腹腔镜特点及其与临床表现的关系研究
- Author:
Jun HUANG
1
;
Gang NIU
;
Yunjing SONG
;
Chenxi LIU
;
Yanchun LIANG
;
Jinjie WU
;
Hongyu XIE
Author Information
1. 赣州市人民医院妇科 江西赣州341000
- Keywords:
Infetility;
Endometriosis;
Laparoscopy
- From:
The Journal of Practical Medicine
2018;34(4):596-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the laparoscopic feature and its relationship with clinical manifesta-tions in infertile patients with endometriosis. Methods From Jan.2013 to Jan.2017,infertile patients who received hysteroscopy and hysteroscopy combination surgery in Ganzhou People′s Hospital were enrolled in this ret-rospective study.The basic clinical data and the distribution of endometriotic lesions were recorded and analyzed in patients with endometriosis simultaneously. Analysis was performed about the clinical manifestations and the rAFS stage of the patients. Results 204 patients are totally enrolled in the study. Among them,120 patients(58.8%) had endometriosis. The presence of menorrhea,dyspareunia,tenesmus,chronic pelvic pain,hypermenorrhea, adnexal mass,restricted uterine mobility,tenderness of adnexa,and tenderness nodules of posterior vaginal fornix are clinically statistically significant.In addition,the presence of ovarian endometrioma is also a significant clinical factor that is close related with the rAFS stage of infertile patients with endometriosis. Moreover,uterosacral liga-ment,rectovaginal septum,vagina and bowel were more common infiltrated in stage Ⅲ and stage Ⅳ endometrio-sis. Conclusions For infertile patients,detailed case history,overall bimanual examination and trans-vaginal ultrasound examination are very important to help diagnosis endometriosis preoperatively and provide evidence for the selection of individualized treatment strategies.
