Milingos S, Mavrommatis C, Elsheikh A, Kallipolitis G, Loutradis D, Diakomanolis E, Michalas S
Division of Fertility - Sterility, 1st Department of Obstetrics and Gynecology, University of Athens, Alexandra University Hospital, Athens, 1 A, Pindarou street, 14578 Ekali, Greece.
Arch Gynecol Obstet. 2002 Nov;267(1):37-40. doi: 10.1007/s00404-001-0262-7.
Despite significant developments in medical and surgical approaches for treating endometriosis, the optimal therapy has yet to be established. The relationship between prevalence of fecundity and stage of endometriosis according to their management was studied. Of 151 consecutive women with laparoscopy-proved endometriosis stage-1 and 2, operative laparoscopy was performed in 49, medical treatment in 59 and expectant management in 43 cases. During a 24-month period the cumulative pregnancy rates were found to be 36.7%, 30.5% and 20.9% respectively. Survival analysis showed that the probability of carrying the pregnancy beyond 20 weeks were 30.6%, 25.4% and 16.2% respectively. Diagnosis and treatment of early endometriosis is beneficial for the infertile women. Laparoscopic surgery seems to be the milestone of treatment in these cases, increasing the fecundity and involving minimal risk.
尽管在子宫内膜异位症的医学和外科治疗方法上取得了重大进展，但最佳治疗方案尚未确立。根据治疗方式，研究了生育力患病率与子宫内膜异位症分期之间的关系。在151例经腹腔镜证实为1期和2期子宫内膜异位症的连续女性患者中，49例行手术腹腔镜检查，59例接受药物治疗，43例采用期待治疗。在24个月期间，累积妊娠率分别为36.7%、30.5%和20.9%。生存分析表明，妊娠超过20周的概率分别为30.6%、25.4%和16.2%。早期子宫内膜异位症的诊断和治疗对不孕女性有益。腹腔镜手术似乎是这些病例治疗的里程碑，可提高生育力且风险最小。
