Martin Dan
Martin Center for Women's Health and Fertility, 6215 Humphreys Boulevard, Suite 400, Memphis, TN 38120, USA.
Curr Womens Health Rep. 2003 Oct;3(5):384-8.
The influence of myomata on fertility is an ongoing subject of debate and conflicting data. Most studies are retrospective and have small population sizes. There are few randomized, controlled trials of myomata and infertility. This manuscript is based on case-controlled in vitro fertilization groups, retrospective review, prospective nonrandomized data, and review articles. The potential risks and benefits of a myomectomy should be considered in making a decision for a patient. In this era of evidence-based medicine, additional randomized, controlled studies of infertility patients and myomata are needed.
子宫肌瘤对生育能力的影响是一个仍在争论且数据相互矛盾的话题。大多数研究是回顾性的，且样本量较小。关于子宫肌瘤与不孕症的随机对照试验很少。本手稿基于病例对照体外受精组、回顾性综述、前瞻性非随机数据以及综述文章。在为患者做决定时，应考虑子宫肌瘤切除术的潜在风险和益处。在这个循证医学时代，需要对不孕症患者和子宫肌瘤进行更多的随机对照研究。
