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腹腔镜子宫肌瘤切除术后的生殖结局——1994年至2007年回顾性分析

[Reproductive outcome after laparoscopic myomectomy--retrospective analysis 1994-2007].

作者信息

Kucera E, Mandys F, Drahonovský J, Martin D, Procházka B

机构信息

Ustav pro peci o matku a díte, Praha.

出版信息

Ceska Gynekol. 2009 Dec;74(6):431-6.

Abstract

The aim of the study was to analyse the reproductive outcome after laparoscopic myomectomy (LM) in infertile patients. Between the years 1994-2007 were 351 infertile women operated in our department. The average age of the patients was 33.5. The total number of extirpated fibroids was 643, with the average of 1.7 per patient and the average size of 3.3 cm. 171 women (48.7%) became pregnant after LM. There were 119 deliveries, 16 spontaneous abortions and 6 ectopic pregnancies in this group. The caesarean section (CS) rate was 46.2% . Intramural localisation of the fibroid significantly correlated with the termination of pregnancy by CS. I. and II. trimester pregnancy loss correlated significantly with deep coagulation when conception occurred during 12 months after surgery. No uterine rupture was observed during pregnancy.

摘要

该研究的目的是分析不孕患者腹腔镜子宫肌瘤剔除术(LM)后的生殖结局。1994年至2007年间,我科为351例不孕妇女实施了手术。患者的平均年龄为33.5岁。切除的肌瘤总数为643个,平均每位患者1.7个,平均大小为3.3厘米。171名妇女(48.7%)在腹腔镜子宫肌瘤剔除术后怀孕。该组中有119例分娩、16例自然流产和6例异位妊娠。剖宫产率为46.2%。肌瘤的肌壁间定位与剖宫产终止妊娠显著相关。当术后12个月内受孕时,妊娠早期和中期流产与深部凝固显著相关。孕期未观察到子宫破裂。

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