摘要
本文对３６６例经腹腔镜及病理检查确认为子宫内膜异位症（ＥＭ）患者进行了研究：１．患病率以２５～２９岁最高，占５２．２％，Ⅰ～Ⅳ期之间无差异；２．不孕症中ＥＭ占５５．７％，ＥＭ中不孕率占８０．６％，原发不孕６２．８％，继发不孕１７．８％，Ⅰ～Ⅳ期不孕发生率无差异，与输卵管通畅度无关；３．骶韧带为好发部位，占８１．０％，随临床期别进展卵巢病灶递增，Ⅳ期卵巢病灶占６０．０％；４．症状与体征表现随期到进展而加重巧早期ＥＭ病灶表现多种多样，出现率最高的是咖啡色小浆点、，占４３．６％，病检阳性率最高的为火焰状病灶，占９０．９％；６．ＬｕＦ的发生率为１２．７，ＥＭ组黄体期腹水量＞正常组（Ｐ＜０．０５）；７．腹腔镜下用激光治疗对要求生育者不论临床期别均作为首选方法，术后妊娠率３１．６％。
cases of endometriosis (EM) diagnosed by laparoscopy and pathological were studied,The result showed that (1) the morbidity peak was in 25 to 29 age group (52. 2%). (2) 55. 7%cases with infertility were EM, primary and secondary sterility were 62. 8% and 17. 8% respectively (3) incidence of uterosacral ligament was the most highest in all position (81. 0% ),with stage growth, ovarian focal increased ovarian focal was 60. 0%. (4) symptoms and signs made heavier, with stage progression. (5) early EM focal could shaw many types, the small coffee colour foCal was 43. 6%, the positive rate of biopsy of flame focal was highest (90. 9% ) in all types. (6) incidence of LUF was 12. 7, the abdominal fluid volume of EM group in luteal phase was more than normal group (P<0. 05 ). The author suggest no matter how stage infertile patient should be treated under laser laparoscopy fistly. After the operation of laser, the pregnancy rate was 31. 6 %.
出处
《生殖与避孕》
CAS
CSCD
北大核心
1994年第4期292-296,共5页
Reproduction and Contraception
