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首页> 外文期刊>Clinical and experimental obstetrics and gynecology >Laparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological confirmation
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Laparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological confirmation

机译：腹腔镜手术可改善子宫内膜异位症疑似子宫内膜异位症患者的妊娠结局

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Purpose of the investigation: To verify whether histologic confirmation of endometriosis impacts fertility outcomes. Materials and Methods: Women with unexplained infertility (UI) underwent laparoscopic excision or ablation with CO2 laser or electrocautery of all suspected endometriotic lesions, followed by clinical treatment between January 2007 and December 2013; pregnancy (>12 weeks) within 12 months of monitored cycles was the main outcome measured. Results: Women with histological confirmation (n=74) did not differ from those not confirmed (n=29) with age, body mass index, gravidity, parity, ovulation induction protocol, and past duration of infertility. Pregnancy outcome was similar in both groups (39/74 vs. 15/29 -p = 0.9 - Chi-square) and there was no statistical difference in time to conceive/deliver (p = 0.7) between groups. Conclusions: There is no difference in fertility outcomes in women with UI, whether or not suspected endometriosis is confirmed pathologically.
机译：研究目的：验证子宫内膜异位的组织学证实是否影响生育结局。材料和方法：对所有原因不明的不孕症（UI）妇女进行腹腔镜切除或CO2激光消融或对所有疑似子宫内膜异位病变进行电灼，然后于2007年1月至2013年12月进行临床治疗;监测周期的12个月内怀孕（> 12周）是主要的测量结果。结果：经组织学确认的妇女（n = 74）与未确认的妇女（n = 29）在年龄，体重指数，妊娠率，胎次，排卵诱导方案和过去的不孕持续时间方面没有差异。两组的妊娠结局相似（39/74 vs. 15/29 -p = 0.9-卡方），两组之间的受孕/分娩时间无统计学差异（p = 0.7）。结论：无论是否经病理证实子宫内膜异位，UI患者的生育结局均无差异。

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