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首页> 外文期刊>Gynecology, obstetrics & reproductive medicine : >Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
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Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?

机译：IVF-ET手术会增加接受腹腔镜子宫内膜异位手术的妇女的怀孕率吗？

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OBJECTIVE: To evaluate pregnancy rates in women who underwent In Vitro Fertilization-Embryo Transfer (IVF-ET) following laparoscopic endometriosis surgery and to assess the success of IVF-ET. STUDY DESIGN: One hundred forty-one primary infertile patients who underwent laparoscopic endometriosis surgery were included in this retrospective study. After the surgery, the patients were followed up for one to eight years, and 95 patients who did not conceive postoperatively underwent IVFET (study group). RESULTS: The pregnancy rate in the study group was 35.8 % and 32.6% in the laparoscopic surgery only group (p0.05). The total conception rate (45.4 %) within the first 12 months after laparoscopy with or without IVF was higher than in the other periods (p0.001). In women with stage III and IV of endometriosis, the pregnancy rate was lower than the stage I and II group. Moreover, the fecundity rate in women older than 35 years was statistically significantly lower than women under the age of 35 years (p=0.003). CONCLUSIONS: In this study, the pregnancy rate was higher in the laparoscopic endometriosis surgery and IVF-ET group compared with the surgery only group, but difference was not statistically significant. Therefore, after surgery IVF-ET may be recommended to women with endometriosis related infertility.
机译：目的：评估腹腔镜子宫内膜异位手术后进行体外受精-胚胎移植（IVF-ET）的妇女的妊娠率，并评估IVF-ET的成功率。研究设计：这项回顾性研究包括接受腹腔镜子宫内膜异位手术的一百四十一名原发性不育患者。手术后，对患者进行了1至8年的随访，对95例未怀孕的患者进行了IVFET（研究组）。结果：研究组的妊娠率为35.8％，仅腹腔镜手术组为32.6％（p> 0.05）。在有或没有IVF的腹腔镜检查后的前12个月内，总受孕率（45.4％）高于其他时期（p <0.001）。在患有子宫内膜异位症的III和IV期女性中，妊娠率低于I和II期组。此外，在统计上，年龄大于35岁的女性的生育力明显低于年龄小于35岁的女性（p = 0.003）。结论：本研究中，腹腔镜子宫内膜异位手术和IVF-ET组的妊娠率高于单纯手术组，但差异无统计学意义。因此，手术后IVF-ET可能建议用于子宫内膜异位症相关的不孕妇女。

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