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Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index
Zeng, Cheng1; Xu, Jia-ning1; Zhou, Yan1; Zhou, Ying-fang1; Zhu, Sai-nan2; Xue, Qing1
关键词Endometriosis Endometriosis Fertility Index Infertility Revised American Fertility Society Classification
刊名GYNECOLOGIC AND OBSTETRIC INVESTIGATION
2014
DOI10.1159/000358390
77期:3页:180-185
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
关键词[WOS]WOMEN ; SYSTEM ; PAIN
英文摘要

Background/Aims:To determine whether the revised American Fertility Society (rAFS) classification and endometriosis fertility index (EFI) predict pregnancy rates (PRs) in patients with surgically confirmed endometriosis attempting natural conception.

Methods: We retrospectively assessed 194 women with endometriosis who underwent laparoscopic surgery; 161 women completed the follow-up. Pregnancy outcomes, rAFS stages and EFI scores were documented. Cumulative PRs were compared using Kaplan-Meier survival analysis.

Results:The cumulative PR 36 months after surgery was 46.6% (stagel, 53.6%; stage II, 36.0%; stage III, 51.7%, and stage IV, 41.7%; log-rank test, X-2 = 4.143, p = 0.246). In the 1st year, PRs significantly differed between patients with rAFS stage IV and those with stages I-III (Pearson′s X-2 test, X-2 = 6.024, p = 0.014). Significant differences in cumulative PRs were observed among EFI scores (group 1, EFI score 0-3, 8.3%; group 2, EFI score 4-7 41.2%, and group 3, EFI score 8-10 60.9%; log-rank test, X2 = 16.254, p <0.001).

Conclusion : EFI scores, but not rAFS stage, predict PRs in patients with endometriosis-associated infertility. EFI scores may be used to guide postoperative treatment. (C) 2014 S. Karger AG, Basel

语种英语
WOS记录号WOS:000334155000007
项目编号81270674
资助机构Natural Science Foundation of China
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/55881
专题北京大学第一临床医学院
北京大学第一临床医学院_妇产科
北京大学第一临床医学院_医学统计室
北京大学第三临床医学院_放射科
作者单位1.Peking Univ, Hosp 1, Dept Obstet & Gynecol, Beijing 100034, Peoples R China
2.Peking Univ, Hosp 1, Dept Biostat, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Zeng, Cheng,Xu, Jia-ning,Zhou, Yan,et al. Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index[J]. GYNECOLOGIC AND OBSTETRIC INVESTIGATION,2014,77(3):180-185.
APA Zeng, Cheng,Xu, Jia-ning,Zhou, Yan,Zhou, Ying-fang,Zhu, Sai-nan,&Xue, Qing.(2014).Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index.GYNECOLOGIC AND OBSTETRIC INVESTIGATION,77(3),180-185.
MLA Zeng, Cheng,et al."Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index".GYNECOLOGIC AND OBSTETRIC INVESTIGATION 77.3(2014):180-185.
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