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目的探讨子宫内膜异位症不孕与子宫内膜息肉(endometrial polyps,EP)的相关影响。方法比较子宫内膜异位症不孕患者119例(内异症不孕组)、非子宫内膜异位症不孕患者241例(非内异症不孕组)临床资料,随访术后18个月内异症不孕组妊娠情况,并分析子宫内膜异位症不同r-AFS分期、EP与妊娠的关系。结果内异症不孕组中EP发病率(64.70%)高于非内异症不孕组(21.16%)(P<0.05),息肉复发2次以上住院治疗及并发中、重度贫血者高于非内异症不孕组(P<0.05);内异症不孕组患者不同r-AFS分期合并EP率差异无统计学意义(P>0.05),但治疗后合并EP者临床妊娠率(58.44%)高于无EP患者(30.95%)(P<0.01),早期子宫内膜异位症(Ⅰ、Ⅱ期)不孕患者术后累积妊娠率(62.34%)高于晚期(Ⅲ、Ⅳ期)患者(23.81%)(P<0.05)。结论子宫内膜异位症不孕患者EP发病率高,合并EP可增加患者住院率及临床并发症,及时行宫腔镜切除息肉或腹腔镜清除内异症病灶后可提高术后累积妊娠率。
Objective To investigate the related effects of endometriosis infertility and endometrial polyps (EP). Methods 119 cases of endometriosis infertility patients (endometriosis infertility group), non-endometriosis infertility patients 241 cases (non-endometriosis infertility group) clinical data, follow-up after 18 Months pregnant women with heterotrophic infertility pregnancy, and analysis of endometriosis different r-AFS staging, EP and pregnancy relationship. Results The incidence of EP was higher in endometriosis infertility group (64.70%) than that in non-endometriosis infertility group (21.16%) (P <0.05). In patients with polyp recurrence more than 2 times, the incidence of hospitalization and moderate and severe anemia were higher than There was no significant difference in EP rates between different endometriosis and infertile patients (P> 0.05), but the clinical pregnancy rate of the patients with EP after treatment was 58.44 %) Was higher than that of patients without EP (30.95%) (P <0.01). The cumulative pregnancy rate (62.34%) in patients with early endometriosis (stage Ⅰ and Ⅱ) ) Patients (23.81%) (P <0.05). Conclusions The incidence of EP in infertile patients with endometriosis is high. Combined EP can increase the hospitalization rate and clinical complications of patients, and timely postoperative cumulative pregnancy rate can be improved by hysteroscopic resection of polyps or laparoscopic removal of endometriosis lesions.