Chong A P, Keene M E, Thornton N L
Department of Obstetrics and Gynecology, Mount Sinai Hospital, Hartford, Connecticut.
Fertil Steril. 1990 Mar;53(3):407-10. doi: 10.1016/s0015-0282(16)53331-7.
Minimal pelvic endometriosis can be the only pathology found in infertility patients undergoing an infertility work-up. Although the mechanism by which endometriosis causes infertility is not known, it is well established that pregnancy can be attained in many patients when this disease is treated. Three different modes of treatment were used in 167 infertility patients who had minimal pelvic endometriosis without other pelvic pathology. Group I (danazol) achieved 48.9% pregnancy rates (23/47), group II (CO2 laser) had 44.6% pregnancy rates (37/83), and group III (CO2 laser and danazol) achieved 51.4% pregnancy rates (19/37). Although the pregnancy rates in groups I and III were higher, they were not statistically significant when compared with group II.
轻度盆腔子宫内膜异位症可能是接受不孕症检查的患者中唯一发现的病理情况。虽然子宫内膜异位症导致不孕的机制尚不清楚，但众所周知，这种疾病得到治疗后，许多患者能够怀孕。167例患有轻度盆腔子宫内膜异位症且无其他盆腔病变的不孕症患者采用了三种不同的治疗方式。第一组（达那唑）的妊娠率为48.9%（23/47），第二组（二氧化碳激光）的妊娠率为44.6%（37/83），第三组（二氧化碳激光加达那唑）的妊娠率为51.4%（19/37）。虽然第一组和第三组的妊娠率较高，但与第二组相比，差异无统计学意义。
