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目的:分析子宫肌瘤剔除术后影响妊娠的相关因素。方法:回顾性分析123例行子宫肌瘤剔除术患者的临床资料,包括患者的年龄、子宫肌瘤的位置、大小、类型、数量、手术方式及盆腔粘连情况,对患者进行电话随访,了解所有患者的妊娠及生育情况。结果:患者年龄、子宫肌瘤数量、盆腔粘连程度、有无不孕史对患者术后妊娠率的影响差异均有统计学意义(P<0.05),其中患者年龄及盆腔粘连程度的影响较为显著。结论:年龄及盆腔粘连程度是子宫肌瘤剔除术后影响妊娠的独立危险因素,年龄越大、盆腔粘连越重,术后妊娠概率越低。
Objective: To analyze the factors that affect pregnancy after uterine myoma removal. METHODS: The clinical data of 123 patients undergoing myomectomy were retrospectively analyzed, including the age of the patient, the location, size, type, number, and surgical methods of the uterine fibroids, and the pelvic adhesions. The patient was followed by a telephone call to learn all The patient’s pregnancy and childbearing status. RESULTS: The age, number of uterine fibroids, degree of pelvic adhesions, and history of infertility had statistically significant differences in postoperative pregnancy rates (P < 0.05). The age of patients and the degree of pelvic adhesions were more significant. Conclusion: Age and degree of pelvic adhesions are independent risk factors for pregnancy after uterine fibroids removal. The older the pelvic adhesion is, the lower the pregnancy probability is.