与不孕症相关的生殖器子宫内膜异位症的特点

O. Bakun, O. Yuzko
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引用次数: 0

摘要

本研究的目的是对子宫内膜异位症合并不孕症患者和输卵管-腹膜因子不孕症患者的病史进行回顾性比较分析。回顾性分析了2019-2022年期间在“Yuzko医疗中心”医疗中心就诊的485例不孕症患者的病史。主要组(I)包括435名伴有子宫内膜异位症的不孕妇女。对照组(II)为输卵管-腹膜性不孕症患者50例。所得结果用变分统计方法进行了处理。结果和讨论。研究发现,305例(70.2%)不孕妇女伴有子宫内膜异位症、疼痛综合征。疼痛综合征对月经的依赖性占60.2%。原发性不孕症I组40.3%,II组84.6%,继发性不孕症I组38%,II组21%。根据细胞学检查结果,发现II - 320型女性(73.6%)为主,对照组10例(21.3%)。I型:主组114例(26.4%),对照组42例(84.6%)。结论现代医学应继续深入研究不孕不育的病因。科学家应该调查不孕症形成的原因,以便进一步预防和成功治疗。根据重复的超声数据,不怀疑生殖器内子宫内膜异位症,因此,不可能依靠超声数据作为额外的研究方法,这需要发现新的诊断方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PECULIARITIES OF GENITAL ENDOMETRIOSIS ASSOCIATED WITH INFERTILITY
The aim of the study – to conduct a comparative retrospective analysis of the medical histories of patients with endometriosis associated with infertility and patients with tubo-peritoneal factor infertility Materials and Methods. A retrospective analysis of 485 patient’s medical histories, who applied to the medical centre “Yuzko Medical Center” regarding infertility for the period 2019–2022 was conducted. The main group (I) consists of 435 women with infertility, associated with endometriosis. The control group (II) consists of 50 women with tubal-peritoneal infertility factor. The obtained results were processed by the method of variational statistics. Results and Discussion. It has been founded that women with infertility associated with endometriosis, pain syndrome is noted for 305 patients (70.2 %). The dependence of the pain syndrome on menstruation was noted for 60.2 % of cases. Primary infertility was detected in 40.3 % of patients of group I and 84.6 % of group II, secondary infertility was diagnosed in 38 % of patients group I and 21 % of patients of group II. According to the results of the cytological examination, it was found that type II – 320 women (73.6 %) predominates and 10 women (21.3 %) of the control group. Type I – 114(26.4 %) women of the main group and 42 women (84.6 %) of the control group. Conclusions Thus, modern medicine should continue to study in detail the diseases that cause infertility. Scientists should investigate the causes of infertility formation in order to their further prevention and successful treatment. According to repeated ultrasound data, internal genital endometriosis is not suspected, therefore, it is not possible to rely on ultrasound data as an additional research method, and this requires the discovery of new diagnostic methods.
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