Clinica Ostetrica e Ginecologica, Istituto Luigi Mangiagalli, Università Statale di Milano, and Fondazione IRCCS Ca Granda - Ospedale Maggiore Policlinico, Milan, Italy.
BJOG. 2012 Nov;119(12):1538-43. doi: 10.1111/j.1471-0528.2012.03466.x. Epub 2012 Aug 20.
We retrospectively assessed pregnancy outcome in 419 women who achieved a first spontaneous singleton pregnancy after surgery for endometriosis. A miscarriage was observed in 87 of 419 women (20.8%) and an ectopic pregnancy in eight (1.9%). Among the remaining 324 women, 14 (4.3%) experienced gestational hypertension/pre-eclampsia, 38 (11.7%) had a preterm delivery, five (1.5%) had placental abruption and 12 (3.7%) had placenta praevia. The incidence of placenta praevia was 7.6% in 150 women with rectovaginal lesions, 2.1% in 69 with ovarian endometriomas plus peritoneal implants, and 2.4% in 100 women with peritoneal implants only, whereas no case was observed in 100 women with ovarian endometriomas only.
我们回顾性评估了 419 例因子宫内膜异位症接受手术治疗后首次自然单胎妊娠的女性的妊娠结局。419 例女性中，87 例（20.8%）发生流产，8 例（1.9%）发生异位妊娠。在其余 324 例女性中，14 例（4.3%）发生妊娠期高血压/子痫前期，38 例（11.7%）早产，5 例（1.5%）胎盘早剥，12 例（3.7%）胎盘前置。在 150 例直肠阴道病变的女性中，胎盘前置的发生率为 7.6%，69 例卵巢子宫内膜异位囊肿合并腹膜种植的女性中发生率为 2.1%，100 例腹膜种植的女性中发生率为 2.4%，而仅 100 例卵巢子宫内膜异位囊肿的女性中未观察到胎盘前置。
