不同程度子宫内膜异位症引起不孕与输卵管通畅的相关性探讨

摘要

目的：探讨子宫内膜异位症严重程度与输卵管通畅情况、手术治疗后妊娠率的相关情况。方法：选取我院2008年1月至2011年12月妇产科收治的子宫内膜异位症确诊患者214例，根据RASF评分进行分期，对各组患者输卵管通畅检查结果与术后治疗后的妊娠情况进行分析。结果：轻度子宫内膜异位症相比中度、重度子宫内膜异位症的输卵管通畅率均明显较高（P＜0．05），输卵管通畅率与子宫内膜异位症RASF分期相关（ P＜0．05）。中重度子宫内膜Ⅲ、Ⅳ期术后妊娠率相比轻度子宫内膜异位Ⅰ、Ⅱ期患者显著提高（ P＜0．05）。术后妊娠率与子宫内膜异位症RASF分期相关（ P＜0．05）。结论：子宫内膜异位症程度较轻的患者输卵管通畅情况优于中重度患者，Ⅲ、Ⅳ期子宫内膜异位症患者导致的不孕与输卵管通畅存在相关性，而Ⅰ、Ⅱ期不孕与输卵管通畅不存在相关性。%Objective:To investigate the severity of endometriosis with the effect of tubal patency , and relevance conditions of pregnancy rate after operation treatment .Method:214 patients with endometriosis di-agnosed in our hospital from Jan .2008 to Dec.2011 were treated , according to the RASF scoring stage , pregnant fallopian tube patency tests and conditions of postoperative treatment of patients in each group were analyzed .Result:Tubal patency rate of mild endometriosis was significantly higher than that of moderate en-dometriosis and severe endometriosis (P <0.05), fallopian tube patency rate was related to endometriosis and RASF stage ( P <0.05) .Moderate to severe endometrial Ⅲ,Ⅳpostoperative pregnancy rate compared to the mild endometriosis I , II patients increased significantly ( P <0.05) .The postoperative pregnancy rate was related to endometriosis RASF stage ( P <0.05) .Conclusion:Endometriosis patients with mild degree of fallopian tubal patency is better than patients with moderate to severe , infertility with fallopian of III , IV patients caused by endometriosis is related to fallopian tube patency , and stage I , II infertility has nothing to do with fallopian tube patency .