实用医学杂志2018，Vol.34Issue(4)：596-599,4.DOI:10.3969/j.issn.1006-5725.2018.04.018
不孕症合并子宫内膜异位症患者的腹腔镜特点及其与临床表现的关系研究
Laparoscopic feature and its relationship with clinical manifestations in infertile women with endometriosis
摘要
Abstract
Objective To investigate the laparoscopic feature and its relationship with clinical manifesta-tions in infertile patients with endometriosis. Methods From Jan.2013 to Jan.2017,infertile patients who received hysteroscopy and hysteroscopy combination surgery in Ganzhou People′s Hospital were enrolled in this ret-rospective study.The basic clinical data and the distribution of endometriotic lesions were recorded and analyzed in patients with endometriosis simultaneously. Analysis was performed about the clinical manifestations and the rAFS stage of the patients. Results 204 patients are totally enrolled in the study. Among them,120 patients(58.8%) had endometriosis. The presence of menorrhea,dyspareunia,tenesmus,chronic pelvic pain,hypermenorrhea, adnexal mass,restricted uterine mobility,tenderness of adnexa,and tenderness nodules of posterior vaginal fornix are clinically statistically significant.In addition,the presence of ovarian endometrioma is also a significant clinical factor that is close related with the rAFS stage of infertile patients with endometriosis. Moreover,uterosacral liga-ment,rectovaginal septum,vagina and bowel were more common infiltrated in stage Ⅲ and stage Ⅳ endometrio-sis. Conclusions For infertile patients,detailed case history,overall bimanual examination and trans-vaginal ultrasound examination are very important to help diagnosis endometriosis preoperatively and provide evidence for the selection of individualized treatment strategies.关键词
不孕症/子宫内膜异位症/腹腔镜Key words
Infetility/Endometriosis/Laparoscopy引用本文复制引用
黄俊,牛刚,宋云静,刘晨曦,梁炎春,吴锦杰,谢鸿玉..不孕症合并子宫内膜异位症患者的腹腔镜特点及其与临床表现的关系研究[J].实用医学杂志,2018,34(4):596-599,4.基金项目
广东省自然科学基金-博士启动(编号:2016A030310151) （编号:2016A030310151）
广东大学生科技创新培育专项资金项目(编号:攀登计划,pdjh2017b0015) （编号:攀登计划,pdjh2017b0015）
中山大学大学生创新训练计划项目(编号:201701109) （编号:201701109）
