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首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Patients' age, myoma size, myoma location, and interval between myomectomy and pregnancy may influence the pregnancy rate and live birth rate after myomectomy
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Patients' age, myoma size, myoma location, and interval between myomectomy and pregnancy may influence the pregnancy rate and live birth rate after myomectomy

机译：患者的年龄，肌瘤大小，肌瘤位置以及子宫肌瘤切除术和妊娠之间的间隔可能会影响子宫肌瘤切除术后的妊娠率和活产率

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Objective: To investigate which clinical characteristics will influence the pregnancy rate and live birth rate after myomectomy. Subjects and Methods: Data of clinical characteristics and reproductive outcome from 471 patients who wished to conceive and who underwent abdominal or laparoscopic myomectomy in the Obstetrics and Gynecology Hospital of Fudan University from January 2008 to June 2012 were retrospectively analyzed. Results: Average age in the pregnancy group (30.0±3.7 years) and the nonpregnancy group (31.2±4.1 years) was statistically different (P=.000). The diameter of the biggest myoma had a positive relationship with the pregnancy rate when it was 10 cm (r s=0.095, P=.039). Abortions before myomectomy, operation type, number, location, and classification of myomas, uterine cavity penetration, and uterine volume seemed not to influence the pregnancy rate (P.05). The location of the myoma may influence the live birth rate after myomectomy (r s=0.198, P=.002). Anterior and posterior myomas were associated with higher live birth rates than other locations (P=.001). The average interval between myomectomy and pregnancy was 16.0±8.7 months, and there was no difference between the abdominal (17.2±8.6 months) and laparoscopic (15.2±8.8 months) groups (P=.102). The interval in the live birth group was 15.0±8.4 months, and that in the non-live birth group was 18.9±9.3 months; the difference was significant (P=.005). Conclusions: Patients' age, myoma size and location, and interval between myomectomy and pregnancy may influence the pregnancy rate and live birth rate after myomectomy.
机译：目的：探讨子宫肌瘤切除术后哪些临床特征会影响妊娠率和活产率。研究对象和方法：回顾性分析2008年1月至2012年6月在复旦大学附属妇产科医院接受腹腔镜子宫肌瘤切除术的471例希望受孕的患者的临床特征和生殖结果。结果：妊娠组（30.0±3.7岁）和非妊娠组（31.2±4.1岁）的平均年龄有统计学差异（P = .000）。当最大肌瘤的直径小于10 cm时，其与妊娠率呈正相关（r s = 0.095，P = .039）。子宫肌瘤切除术前的流产，手术类型，数目，子宫肌瘤的位置和分类，子宫腔穿透和子宫体积似乎不影响妊娠率（P> 0.05）。子宫肌瘤的位置可能会影响子宫肌瘤切除术后的活产率（r s = 0.198，P = .002）。前后肌瘤的活产率高于其他部位（P = .001）。子宫肌瘤切除术和妊娠之间的平均间隔为16.0±8.7个月，腹腔镜组（17.2±8.6个月）和腹腔镜检查组（15.2±8.8个月）之间没有差异（P = .102）。活产组的间隔为15.0±8.4个月，非活产组的间隔为18.9±9.3个月。差异显着（P = .005）。结论：患者的年龄，子宫肌瘤的大小和位置以及子宫肌瘤切除术和妊娠之间的间隔可能会影响子宫肌瘤切除术后的妊娠率和活产率。

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