Prognostic factors for predicting spontaneous pregnancy after laparoscopic surgical treatment of endometriosis / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 1287-1295, 2009.
Article
in Korean
| WPRIM
| ID: wpr-156458
ABSTRACT
OBJECTIVE:
To identify the prognostic factors for predicting spontaneous pregnancy after laparoscopic surgical treatment of endometriosis.METHODS:
Retrospective analysis was performed in 82 patients who underwent elective laparoscopic surgery with subsequent pathological confirmation of the endometriosis at Gangnam Severance Hospital from January 2003 to March 2008. We investigated the spontaneous pregnancy rate during the 12 months following surgical treatment and administration of Gonadotropin-Releasing Hormone agonist (GnRH agonist). Factors associated with clinical characteristics, blood tests and operative findings were compared with pregnant and non-pregnant women.RESULTS:
The number of patients succeed to spontaneous pregnancy was 32 and failed to pregnancy was 50. Cumulative pregnancy rate was 39.02%. Mean pregnancy duration after surgical treatment was 5.96+/-3.43 months. r-AFS stage or grouping into two stages (mild/severe) (P=0.018), r-AFS score (P=0.008) and cul-de-sac obliteration (P=0.038) was significantly different between pregnant and non-pregnant group. Complete cul-de-sac obliteration was the independent factor of pregnancy failure in women with endometriosis after laparoscopic surgery.CONCLUSION:
Complete cul-de-sac obliteration may be the important factors for predicting spontaneous pregnancy outcome in women with endometriosis after laparoscopic surgical treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pregnancy Outcome
/
Retrospective Studies
/
Gonadotropin-Releasing Hormone
/
Laparoscopy
/
Pregnancy Rate
/
Endometriosis
/
Hematologic Tests
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2009
Type:
Article
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