当院における腹腔鏡下子宮筋腫核出術の不妊治療成功率に与える影響についての検討

抄録

Introduction: Myomas are a common disorder in women of reproductive age, affecting 20%–50% of the population. The relationship between myomas and infertility is still unclear, and the effect of myomectomy on reproductive outcomes is uncertain. We retrospectively investigated patients with infertility who had laparoscopic myomectomy (LM) in our hospital and discussed the impact of LM on reproductive outcomes.

Methods: A total of 54 patients with infertility who underwent LM in our hospital between January 2015 and September 2016 were analyzed. All patients received both preoperative and postoperative treatments for infertility, such as timed intercourse, intrauterine insemination (IUI), and assisted reproductive technology (ART).

Results: Mean age was 37.0 (29–44, median 39) years. Of 54 patients, 34 (63.0%) conceived after LM (timed intercourse = 10, IUI = 1, and ART = 23). Mean duration between the operation and pregnancy was 9.2 (4–24, median 8.5) months. Uterine cavity distortion did not have an influence on reproductive outcomes. All pregnant women delivered by cesarean section. No uterine rupture was observed.

Conclusion: LM may be offered to patients who do not become pregnant after infertility treatment.