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EFI在预测中重度内异症相关不孕术后非ART妊娠结局的价值分析

比丽克孜·艾克木 卢艳丽 岳明明

中国妇幼健康研究2017,Vol.28Issue(7):839-841,3.
中国妇幼健康研究2017,Vol.28Issue(7):839-841,3.DOI:10.3969/j.issn.1673-5293.2017.07.028

EFI在预测中重度内异症相关不孕术后非ART妊娠结局的价值分析

Value of EFI in predicting non ART pregnancy outcomes after operation in patients with moderate to severe endometriosis

比丽克孜·艾克木 1卢艳丽 1岳明明2

作者信息

  • 1. 新疆医科大学附属中医医院妇科,新疆 乌鲁木齐 830000
  • 2. 新疆医科大学中医学院,新疆 乌鲁木齐 830000
  • 折叠

摘要

Abstract

Objective To analyze the value of endometriosis fertility index (EFI) in predicting non ART pregnancy outcomes after operation in patients with moderate to severe endometriosis (Ⅲ-Ⅳstage).Methods Sixty patients with endometriosis admitted in Affiliated Hospital of Traditional Chinese Medicine in Xinjiang Medical University from December 2013 to December 2014 were collected into clinical data.All patients were treated with laparoscopy.Non ART pregnancy rate in different time after operation was analyzed.They were followed up for 2 years to analyze the correlation of non ART with ovulation rate and EFI score.The ROC curve of EFI was plotted to determine the diagnostic value.Results After 2 years of follow-up, total non ART pregnancy rate was 55.00% (33/66).The non ART pregnancy rate was 36.67% (22/60), 15.00% (9/60) and 3.33% (2/60), respectively in half, 1 and 2 years, and there was statistically difference at different periods (χ2=38.23, P<0.01).Non ART pregnancy rate was related to ovulation induction therapy and EFI score (χ2 value was 10.09 and 27.81, respectively, both P<0.01).The area under ROC curve of EFI score was 0.70.The maximum value of Youden''s index, specificity and sensitivity was 5.9, 72.41% (21/29) and 30.00% (12/40), respectively.Conclusion EFI can predict non ART pregnancy outcomes in patients with endometriosis.

关键词

子宫内膜异位症/子宫内膜异位症生育指数/辅助生殖技术/预测价值

Key words

endometriosis/endometriosis fertility index (EFI)/assisted reproductive technology (ART)/predictive value

分类

医药卫生

引用本文复制引用

比丽克孜·艾克木,卢艳丽,岳明明..EFI在预测中重度内异症相关不孕术后非ART妊娠结局的价值分析[J].中国妇幼健康研究,2017,28(7):839-841,3.

中国妇幼健康研究

1673-5293

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