| 傅艳姝,吴俊,俎德学.子宫内膜异位症合并子宫内膜息肉在不孕症中的相关临床研究[J].浙江中西医结合杂志,2015,25(5): |
| 子宫内膜异位症合并子宫内膜息肉在不孕症中的相关临床研究 |
| Ectopic endometrium of patients with endometrial polyps in infertility clinical research |
| 投稿时间：2015-01-08 修订日期：2015-02-07 |
| DOI： |
| 中文关键词: 【关键词】子宫内膜异位症 子宫内膜息肉 不孕 腹腔镜 宫腔镜 |
| 英文关键词:【Key words】endometriosis endometrial polyps infertility laparoscopy hysteroscopy |
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| 中文摘要: |
| 【摘要】 目的 观察不孕症患者子宫内膜异位症合并子宫内膜息肉的患病机率,探讨子宫内膜异位症与子宫内膜息肉共同存在的相关性。方法 回顾性分析康桥社区卫生服务中心、杭州师范大学附属医院2011年1月---2014年6月232例不孕症患者,其中伴有子宫内膜异位症的121例作为观察组,无子宫内膜异位症111例为对照组,行B超、腹腔镜、宫腔镜及病理学检查确诊,子宫内膜异位症由腹腔镜及病理证实,子宫内膜息肉由宫腔镜及病理证实。结果 232例不孕症患者中子宫内膜异位症121例,子宫内膜异位症合并子宫内膜息肉76例,无子宫内膜异位症111例中,子宫内膜息肉25例,两者具有明显的统计学差异(P＜0.05)。结论 通过对子宫内膜异位症合并不孕的患者的分析中发现,此类病人同时合并子宫内膜息肉的发生率明显增加,可能是子宫内膜异位症性不孕症的重要影响因素之一。在临床实践中,采用腹腔镜对EMT相关不孕的患者进行诊治时,有必要同时行宫腔镜检查,及时处理可能存在的EP,将大大提高不孕症诊治的效果。 |
| 英文摘要: |
| objective To observe prevalence of endometriosis with endometrial polyps in the infertile women and to investigate the co-existing correlation between endometriosis with endometrial polyps. Materials and Methods Two hundred and thirty-two infertile patients who underwent ultrasonography, laparoscopy, hysteroscopy, and pathologic examination in the Kangqiao Community Health Service Center or the AffiliatedSHospitalSof Hangzhou Normal University from January 2011 to June 2014 were analyzed retrospectively. Of the 232 patients, 121 patients with endometriosis served as the observation group, and the rest 111 patients without endometriosis as the control group. Endometriosis was confirmed by laparoscopy and pathologic examination, and endometrial polyps were proven by hysteroscopy and pathologic examination. Results Seventy-six out of 121 patients with endometriosis showed endometrial polyps, and 25 out of 111 patients without endometriosis revealed endometrial polyps. The two groups were of significant difference (P＜0.05). Conclusion Compared to the infertile patients without endometriosis, the prevalence rate of endometrial polyps markedly increases in the infertile patients with endometriosis, and endometrial infertility might be one of the most influential risk factors. During the process of clinical practice, it is necessary to perform hysteroscopy examination when laparoscopy is employed to diagnose and treat patients with endometriosis-related infertility. Treating possible endometrial polyps without delay will greatly improve the effect of diagnosis and treatment of infertility. |
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