目的：探讨子宫内膜异位症生育指数（EFI）在评价开腹手术治疗子宫内膜异位症（EM T ）合并不孕症患者生育能力中的临床价值。方法分析2009年1月至2013年1月在宁夏回族自治区固原市原州区妇幼保健所和原州区人民医院妇产科行保守手术治疗的EM T合并不孕症患者105例，术后对其进行EFI评分，通过电话及门诊随访了解不同EFI评分患者术后累计妊娠率。结果105例患者术后2年累积妊娠率为68例（64．80％），EFI评分小于或等于4分、5～7分、8～10分的术后2年累计妊娠率分别34．48％、57．14％、92．68％，两两比较差异有统计学意义（P＜0．05）。同一EFI评分中，不同类型的EM T患者其术后累积妊娠率差异无统计学意义（P＞0．05）。结论 EFI与EM T合并不孕症患者保守治疗后的妊娠率具有密切的关系，EFI评分对指导患者后续治疗具有重要的作用。%Objective to investigate the clinical application value of endometriosis fertility index (EFI) in the evaluation of ab‐dominal surgery endometriosis(EMT) combined infertility patient .Methods the date of 105 cases of infertility EMT merge were retrospectively analyzed from January 2009 to January 2013 in the Yuanzhou MCH and the obstetrics and gynecology department of Yuanzhou people′s hospital .All patients were followed up for two years and the rates of cumulative pregnancy were compared .Re‐sults the rates of two year cumulative pregnancy rate were 64 .80% (68 cases) .The two year cumulative pregnancy rates of EFI score ≤ 4 points ,5 to 7 points ,8 to 10 points were 34 .48% ,57 .14% ,92 .68% (P<0 .05) .There were no difference in cumulative pregnancy rate of different types of EMT in patients(P>0 .05) .Conclusion EFI and EMT with infertility pregnancy after conser‐vative treatment has a close relationship ,and EFI score would provide important guidance for follow up treatment .
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