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目的观察宫腹腔镜联合手术治疗子宫内膜异位症合并内膜息肉患者的疗效,并探讨其对患者自然妊娠结局的影响。方法选取2015年1-12月该院收治的子宫内膜异位症合并内膜息肉患者50例(试验组),选取同时期50例单纯子宫内膜异位症患者作为对照组,两组患者均行宫腹腔镜联合手术,观察手术效果,并探讨宫腹腔镜联合手术对子宫内膜异位症合并内膜息肉患者自然妊娠结局的影响。结果试验组疾病治疗总有效率为90.00%,低于对照组的94.00%,但组间差异无统计学意义(P>0.05);试验组妊娠率为30.00%,妊娠分娩率为22.00%,足月分娩率为20.00%,对照组对应为34.00%、26.00%、22.00%,两组比较差异无统计学意义(P>0.05);试验组胚胎停育率为16.00%,高于对照组的0.00%,差异有统计学意义(P<0.05)。结论宫腹腔镜联合手术治疗子宫内膜异位症合并内膜息肉效果满意,与未合并内膜息肉者相比,子宫内膜异位症合并内膜息肉者更容易发生胚胎停育,临床应加强重视。
Objective To observe the effect of hysteroscopy and laparoscopy in the treatment of patients with endometriosis complicated with endometrial polyps and to explore its effect on the outcome of patients with natural pregnancy. Methods Fifty patients with endometriosis complicated with endometrial polyps in our hospital from January to December in 2015 (experimental group) were enrolled. Fifty patients with endometriosis at the same period were selected as the control group. Two groups of patients All patients underwent laparoscopic surgery combined with laparoscopic surgery to observe the effect of surgery and to explore the effect of laparoscopic combined surgery on endometrial polyps patients with endometrial polyps natural pregnancy outcome. Results The total effective rate of treatment in the experimental group was 90.00%, which was lower than that in the control group (94.00%), but there was no significant difference between the two groups (P> 0.05). The pregnancy rate was 30.00% and the pregnancy and delivery rate was 22.00% The monthly delivery rate was 20.00%, while the control group was 34.00%, 26.00% and 22.00%, respectively. There was no significant difference between the two groups (P> 0.05). The rate of embryo implantation in the experimental group was 16.00%, which was higher than 0.00 %, The difference was statistically significant (P <0.05). Conclusions Hysteroscopy combined with surgical treatment of endometriosis with endometrial polyps is satisfactory, compared with those without endometrial polyps, endometriosis with endometrial polyps are more likely to occur embryo suspension, clinical should Strengthen attention.