CONSERVATIVE SURGERY FOR INFERTILE PATIENTS WITH PELVIC ENDOMETRIOSIS : FACTORS AFFECTING THE PREGNANCY RATE AND EXPECTANCY

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Synopsis Conservative surgery was used in the treatment of 95 infertile patients with endometriosis whodesired to have a child, of these 95 patients, 44 (46, 3%) became pregnant after treatment We studied thepostoperative pregnancy rate and the expectancy value for pregnancy and the factors affecting them Thepostoperative pregnancy rate was significantly lower in the patients with an infertility period of more than5 years As the age of the patients at the time of operation increased, the pregnancy rate decreased, theexpectancy value was also significantly lower in patients over 30 years of ageEndometriotic lesions were, in the ovary (77 9%), in the peritoneum (42 1%), and in the uterosacralligament (42 1%)The rates of pregnancy in patients in Beecham's stages II (43 2%) and III (53 3%) were not statisticallysignincant The rate was significantly lower in stage IV Intrapelvic complications were usually myomaof the uterus and cystoma of the ovary Both pregnancy rate and expectancy value were signincantlylower in the patients with pelvic complications Homonal therapy combined with conservative surgerygave a higher rate of pregnancy and expectancy value than surgery aloneThus, the duration of infertility, the age of the patient at the time of operation, intrapelvic complications,and the mode of treatment were key factors affecting the postoperative rate of pregnancy and expectancy
社団法人日本産科婦人科学会の論文
1986-10-01