摘要
目的:分析子宫肌瘤行腹腔镜下肌瘤剔除术之后患者的妊娠情况及其相关影响因素。方法:回顾性分析2003年3月-2011年3月于我院诊治并行腹腔镜下子宫肌瘤剔除术的264例子宫肌瘤患者的临床资料,电话随访了解患者术后妊娠、结局等情况并记录整理。分析患者的年龄、肌瘤部位等多指标与其妊娠结局的关系。结果:随访发现,264例患者中术后169例自然妊娠,妊娠率为64.02%。单因素分析结果,年龄、子宫切口数、子宫肌瘤个数以及部位是其影响因素(P<0.05)。Logistic回归分析显示,年龄以及子宫切口数是患者妊娠结局的危险因素。结论:对于有生育要求的子宫肌瘤患者,可以选择腹腔镜下行肌瘤剔除术,对于年龄较大、切口数过多的患者若术后1年内未妊娠,可以采取辅助受孕。
Objective：To investigate the pregnancy status of laparoscopic myomectomy and analysis the influence factors. Methods：Retrospectively analyzed the clinical data of 264 cases of hysteromyoma patients in our hospital from March 2003 to March 2011. We investigated the pregnancy outcomes of the patients by calling. To analysis the relationship between pregnancy outcome and the multiple indexes such as patient＇s age, the location of uterine fibroids and so on. Results：After follow-up,we found that 169 cases were natural pregnancy among the 264 cases, the pregnancy rate was 64. 02%. Single-factor analysis show that the variables influence patients pregnancy rate were age, the number of uterine incision,the number and location of uterine fibroids （P〈0.05）. Logistic regression analysis showed that age and the number of uterine incision were the risk factors of pregnancy outcome. Conclusion： For the hysteromyoma patients with reproduction requirement, laparoscopic myomectomy surgical is a good choice. If aged patients or patients who have more uterine incisions have no pregnancy in one year after operation, Auxiliary methods can be taking to help the pregnancy.
出处
《医学理论与实践》
2017年第8期1110-1112,共3页
The Journal of Medical Theory and Practice
