Analysis of influencing factors for reproductive outcome of the patients with intrauterine adhesions
10.3760/cma.j.cn101441-20200402-00187
- VernacularTitle:宫腔粘连患者生殖预后影响因素分析
- Author:
Xia YANG
1
;
Lijuan HAO
1
;
Jiangtao LYU
1
;
Yi LIN
1
;
Li CHEN
1
Author Information
1. 重庆市妇幼保健院妇科内分泌科401147
- Publication Type:Journal Article
- Keywords:
Intrauterine adhesion;
Pregnancy rate;
Reproductive outcome;
Influencing factor
- From:
Chinese Journal of Reproduction and Contraception
2021;41(6):543-547
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influencing factors for reproductive outcome of the patients with intrauterine adhesions (IUA).Methods:Totally 178 cases were selected as the subjects in prospective cohort study from those diagnosed with IUA and underwent surgery in Chongqing Health Center for Women and Children from January 2017 to February 2018. The relationships of pregnancy with medical history (including age, course of disease, past history of infertility and recurrent abortion, operation times of uterine cavity, preoperative menstruation, endometrial thickness),morphological index of uterine cavity (including opening of oviduct, adhesion range, adhesion properties) and recovery of uterine cavity were analyzed.Results:The overall pregnancy rate was 59.6% (106/178), the live birth rate was 45.5% (81/178), and the effective rate of uterine cavity recovery was 88.8% (158/178). There were statistical differences in the pregnancy rate of different courses of disease ( P=0.007), adhesion properties ( P=0.001), adhesion range ( P=0.001) and the recovery of uterine cavity ( P=0.037). The logistic statistics showed that course of disease and adhesion properties were independent factors ( P=0.012, P=0.003). Conclusion:The course of disease and adhesion properties were independent factors which influence reproductive outcome of the patients with IUA.
