子宮内膜症合併不妊症に対する腹腔鏡手術後の妊娠予後に関する検討

抄録

Objective: To examine the factors that affect achieving a pregnancy following laparoscopic surgery for infertile women with endometriosis.
Design: Retrospective study
Setting: Department of Obstetrics and Gynecology, Shimane Prefectual Central Hospital
Patients: A total of 33 infertile women with endometriosis underwent laparoscopic surgery.
Main Outcome Measures: We compared a number of pertinent factors between pregnant and non-pregnant women. Statistical analyses were performed using Fisher's exact test and the Student's t-test. All results were considered statistically significant at P < 0.05.
Results: Of 33 women who underwent laparoscopic surgery, 22 achieved a pregnancy. Among those 22 pregnant women, 14 women were pregnant within one year after laparoscopic surgery. No significant differences were found between pregnant and non-pregnant women regarding age, size of endometriomas, adhesion score, peritubal adhesions, periovarian adhesions, or posterior cul-de-sac obliteration. The pregnancy rate for women with a peritoneal lesion score of 6 points was significantly lower than that of women with a peritoneal lesion score of 0-2 points.
Conclusions: We are of the opinion that the peritoneal lesion score directly correlates with endometriosis-associated infertility. Furthermore, laparoscopic surgery is useful for the treatment of women with to endometriosis-associated infertility.