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首页> 美国卫生研究院文献>Reproductive Medicine and Biology >Reproductive outcome after laparoscopic myomectomy for intramural myomas in infertile women with or without associated infertility factors
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Reproductive outcome after laparoscopic myomectomy for intramural myomas in infertile women with or without associated infertility factors

机译：腹腔镜子宫肌瘤切除术对有或没有相关不育因素的不育妇女壁内肌瘤的生殖结果

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>Aims:   To evaluate reproductive outcome after laparoscopic myomectomy for intramural myomas in infertile women with or without associated infertility factors. >Methods:   A retrospective study was carried out in 30 infertile women with intramural myomas measuring ≥50 mm in diameter and treated using laparoscopy. >Results:   The overall rate of spontaneous intrauterine pregnancy was 50.0% (15 patients). Of 13 patients with infertility factors associated with the uterine myomas, three (23.1%) became pregnant, whereas 12 of 17 patients (70.6%) with no other associated infertility factor became pregnant. No uterine ruptures were observed. All pregnancies were spontaneous and 13 occurred within 1 year of the operation. In the 10 patients who gave birth by Cesarean section, no adhesions were found on the myomectomy scar. >Conclusions:   On the basis of these results, laparoscopic surgery for myomas appears to offer comparable results to laparotomy. In infertile patients with intramural myoma, pregnancy rates are affected by the presence of other infertility factors associated with the uterine myomas. (Reprod Med Biol 2006; >5: 31–35)
机译：>目的：评估腹腔镜子宫肌瘤切除术对有或没有相关不育因素的不育妇女壁内肌瘤的生殖结局。 >方法：回顾性研究了30例直径不小于50毫米并经腹腔镜治疗的不孕女性壁内肌瘤。 >结果：自发子宫内妊娠的总发生率为50.0％（15例患者）。在13例与子宫肌瘤相关的不育因素患者中，有3例（23.1％）怀孕，而在17例中没有其他相关的不育因素的患者中有12例怀孕。没有观察到子宫破裂。所有妊娠都是自然发生的，其中13例发生在手术后的一年内。在剖宫产术中分娩的10例患者中，子宫肌瘤切除术的疤痕上未发现粘连。 >结论：基于这些结果，腹腔镜手术治疗肌瘤似乎可以提供与剖腹手术相当的结果。在具有壁内肌瘤的不育患者中，妊娠率受与子宫肌瘤相关的其他不育因素的影响。 （Reprod Med Biol 2006； > 5 ：31-35）

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