Nakatani K, Hoshiai H
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Jun;39(6):940-6.
The relationship between classifications (Beecham, Acosta, Sugimoto, AFS and private plan) and chances of subsequent gestation was studied on 26 patients with laparoscopically diagnosed endometriosis. The success in conception was judged one year after diagnosis or completion of subsequent Danazol administration. In our private plan, [A] blueberry spots, blood blebs, [B] chocolate cyst, [C] periadnexal adhesions ([C']: only less involved side was evaluated) and [D] Closing change in cul-de-sac, were designated targets of evaluation and each was divided into 4 grades. As a result, a significant difference between success and failure groups was noted in initial classification with Beecham, AFS [posterior cul-de-sac obliteration] and private plan [C'], and was also noted in post-treatment classification with AFS [posterior cul-de-sac obliteration] and private plan [D]. (2) Only in the success group, Danazol was recognized as effective in every classification, and the improvement in AFD[posterior cul-de-sac obliteration] and private plan [D] was considered to be contributory. The effects, however, on adnexal adhesive changes were not significant. (3) Whenever conception is attempted by medication, the adnexal condition of the less involved side may significantly influence the chances of subsequent pregnancy.
对26例经腹腔镜诊断为子宫内膜异位症的患者，研究了不同分类方法（比彻姆分类法、阿科斯塔分类法、杉本分类法、美国生殖医学学会（AFS）分类法和私立机构分类法）与后续妊娠几率之间的关系。在诊断后或后续达那唑治疗结束一年后判断受孕是否成功。在我们的私立机构分类法中，[A]蓝莓斑、血疱，[B]巧克力囊肿，[C]附件周围粘连（[C']：仅评估受累较轻的一侧）以及[D]直肠子宫陷凹闭合变化，被指定为评估指标，且每个指标都分为4级。结果显示，比彻姆分类法、AFS分类法[直肠子宫陷凹闭塞]和私立机构分类法[C']的初始分类在成功组和失败组之间存在显著差异，AFS分类法[直肠子宫陷凹闭塞]和私立机构分类法[D]的治疗后分类也存在显著差异。（2）仅在成功组中，达那唑在每种分类中都被认为是有效的，并且AFD[直肠子宫陷凹闭塞]和私立机构分类法[D]的改善被认为是有作用的。然而，其对附件粘连变化的影响并不显著。（3）每当尝试通过药物治疗受孕时，受累较轻一侧的附件状况可能会显著影响后续妊娠的几率。
