陈玲, 孙玉琴, 蒋晓敏, 张华. 子宫肌瘤切除术后停止避孕患者妊娠情况及其影响因素[J]. 蚌埠医科大学学报, 2016, 41(10): 1293-1296. DOI: 10.13898/j.cnki.issn.1000-2200.2016.10.011
    引用本文: 陈玲, 孙玉琴, 蒋晓敏, 张华. 子宫肌瘤切除术后停止避孕患者妊娠情况及其影响因素[J]. 蚌埠医科大学学报, 2016, 41(10): 1293-1296. DOI: 10.13898/j.cnki.issn.1000-2200.2016.10.011
    CHEN Ling, SUN Yu-qin, JIANG Xiao-min, ZHANG Hua. The pregnancy and its influencing factors in patients after myomectomy[J]. Journal of Bengbu Medical University, 2016, 41(10): 1293-1296. DOI: 10.13898/j.cnki.issn.1000-2200.2016.10.011
    Citation: CHEN Ling, SUN Yu-qin, JIANG Xiao-min, ZHANG Hua. The pregnancy and its influencing factors in patients after myomectomy[J]. Journal of Bengbu Medical University, 2016, 41(10): 1293-1296. DOI: 10.13898/j.cnki.issn.1000-2200.2016.10.011

    子宫肌瘤切除术后停止避孕患者妊娠情况及其影响因素

    The pregnancy and its influencing factors in patients after myomectomy

    • 摘要: 目的:总结子宫肌瘤切除术后停止避孕患者的妊娠情况及其影响因素。方法:对子宫肌瘤切除术后40岁以下112例停止避孕的患者,采用查阅病历数据和电话随访的方式,追踪并记录其人口统计学特征、手术情况、子宫肌瘤类型及妊娠结局。结果:年龄≥35岁患者术后妊娠率为56.1%,<35岁患者术后妊娠率87.3%(P<0.01);既往就诊辅助生育的患者术后妊娠率为50.0%,低于无辅助生育就诊史患者的79.0%(P<0.05);曾接受过高等教育患者术后妊娠率88.6%,高于未曾接受高等教育者的67.6%(P<0.01);既往妊娠次数越多,术后妊娠率越低(P<0.01);不同手术方式、术前有无症状、不同子宫肌瘤数目及大小患者术后妊娠率差异均无统计学意义(P>0.05)。结论:患者年龄、既往孕产史、是否有不孕因素是子宫肌瘤切除术后患者妊娠的影响因素,手术方式及子宫肌瘤类型对术后妊娠无明显影响。

       

      Abstract: Objective: To investigate the pregnancy and its influencing factors in no contraception patients after myomectomy.Methods: One hundred and twelve patients after myomectomy were investigated using consulting medical record and telephone consultation.The demographics,operation situation,hysteromyoma type and pregnant outcome in no contraception patients were recorded.Results: The pregnancy rate in patients with age ≥35(56.1%) was lower than that in patients with age<35(87.3%)(P<0.01).The pregnancy rate in patients treated with assisting reproductive technology(50.0%) was lower than that in patients treated without assisting reproductive technology(79.0%)(P<0.05).The pregnancy rate in patients with higher education(88.6%) was higher than that in patients without higher education(67.6%)(P<0.01).The more the pregnancy number was,the less the postoperative pregnancy rate was(P<0.01).The differences of the postoperative pregnancy rate in different operation method,preoperative symptom,and number and size of hysteromyoma were not statistically significant(P>0.05).Conclusions: Age,pregnancy history and infertility factor are the influencing factors of pregnancy in patient after myomectomy,the operation method and hysteromyoma type have not effect on the postoperative pregnancy.

       

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