Abstract：【Objective】To investigate the curative effect of laparoscope in treating endometriosis combined with infertility and factors affecting pregnancy after the operation. 【Methods】A total of 70 patients who received laparoscopic operation in the treatment of ovarian endometriosis complicated with infertility were selected as the observation group and sixty cases of endometriosis with infertility who received conservative abdomen-open surgery were recruited as the control group. Clinical data, outcomes of surgery, and factors affecting the postoperative pregnancy of the two groups were analyzed. 【Results】The durations of the operation and the first postoperative exsufflation of the observation group were shorter than those of the control group, with statistically significant difference (P<0.05). Postoperative complications of the two groups were not statistically significant different (P>0.05). During the 2 years of follow-up after surgery, the pregnancy rate of the observation group was higher than that of the control group (P<0.05). Univariate analysis showed that postoperative pregnancy rate of the observation group was closely related to factors including the R-AFS staging, postoperative tubal patency, postoperative combined medication and treatment for assisting pregnancy. Multivariate stepwise logistic regression results showed that treatment for assisting pregnancy, postoperative combined medication and tubal patency after the surgery were independent factors affecting postoperative pregnancy of patients with ovarian endometriosis complicated with infertility who were treated by laparoscopic operation. 【Conclusion】 Laparoscopic surgery for endometriosis complicated with infertility has advantages of less injury and rapid recovery. To effectively improve the patient's postoperative pregnancy rate, it is of great significance to ensure tubal patency, timely combination of medication and other appropriate ways to boost the pregnancy.
梁秀文;季新梅;. 腹腔镜治疗子宫内膜异位症合并不孕症的疗效及影响术后妊娠的因素[J]. 医学临床研究, 2017, 34(4): 711-714.
LIANG Xiu-wen, JI Xin-mei. Curative Effect of Laparoscope in Treating Endometriosis Combined with Infertility and Factors Affecting Pregnancy after Operation. JOURNAL OF CLINICAL RESEARCH, 2017, 34(4): 711-714.
2017, Vol. 34 
