Guzick D S, Silliman N P, Adamson G D, Buttram V C, Canis M, Malinak L R, Schenken R S
Department of Obstetrics and Gynecology, University of Rochester, New York, USA.
Fertil Steril. 1997 May;67(5):822-9. doi: 10.1016/s0015-0282(97)81392-1.
To estimate the empirical relationship between the revised American Society for Reproductive Medicine's classification of endometriosis and pregnancy rates after treatment.
Retrospective analysis.
PATIENT(S): Patients seen by four practicing physicians.
INTERVENTION(S): Medical and/or surgical therapy for endometriosis.
MAIN OUTCOME MEASURE(S): Pregnancy defined as ongoing or delivered.
RESULT(S): There were no significant differences in pregnancy rates across stages of endometriosis. There was a slight decline in pregnancy rates among patients with Stage IV endometriosis, but statistical significance was not achieved.
CONCLUSION(S): The use of an arbitrary weighted system for assigning scores to individual categories of disease, or for computing a total score, has limited the overall effectiveness of the classification system to predict pregnancy.
评估修订后的美国生殖医学学会子宫内膜异位症分类与治疗后妊娠率之间的经验关系。
回顾性分析。
由四位执业医师诊治的患者。
子宫内膜异位症的药物和/或手术治疗。
妊娠定义为持续妊娠或分娩。
子宫内膜异位症各阶段的妊娠率无显著差异。IV期子宫内膜异位症患者的妊娠率略有下降，但未达到统计学显著性。
使用任意加权系统对疾病的各个类别进行评分或计算总分，限制了分类系统预测妊娠的整体有效性。
