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学科主题: 临床医学
题名:
Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index
作者: 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
发表日期: 2014
DOI: 10.1159/000358390
卷: 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
所属项目编号: 81270674
项目资助者: Natural Science Foundation of China
WOS记录号: WOS:000334155000007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55881
Appears in Collections:北京大学第一临床医学院_期刊论文

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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

Recommended Citation:
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.
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