在外扭曲的外科治疗后的长期生育能力
Valentine Giland1, Lionel Moulis2, Gauthier Rathat1
1Department of Gynecological Surgery, Montpellier University Hospital, Montpellier, France.
概括
附扭曲 (AT) 不会显著影响生育力或导致早期更年期. 怀孕率与对照组相似,这表明在AT后,生育保护可能不再是常规必要的.
科学领域:
- 生殖医学 生殖医学
- 妇科外科手术 妇科外科
- 生育研究 生育研究
背景情况:
- 上扭伤 (AT) 是一种妇科紧急情况,可能影响生育能力.
- 目前关于AT患者的生育保护策略的共识尚不清楚.
- 了解AT后的长期生育结果对于患者管理至关重要.
研究的目的:
- 为了比较经历附扭曲 (AT) 的患者与对照组的生育结果.
- 为了评估怀孕的时间和早期更年期的发生率,在AT和对照组.
- 为了确定附扭曲的复发率.
主要方法:
- 对43岁以下接受AT治疗的怀孕欲望患者进行了回顾性双中心研究.
- 接受消化或泌尿外科手术 (3:1比率) 的患者匹配的对照组 (CG).
- 主要终点:手术后怀孕率;次要终点:怀孕时间,绝经年龄,AT复发率.
主要成果:
- 在AT组 (94.64%) 和CG组 (88.69%) 之间,术后怀孕率没有显著差异.
- 在两组中,怀孕的平均时间 (6.89个月与6.6个月) 和早期更年期的发生率 (1.79%与0.6%) 都相似.
- 附扭曲的复发率为14.3%.
结论:
- 附扭曲 (AT) 似乎不会对女性生育能力产生负面影响.
- 对所有为AT治疗的患者来说,系统性生育保护可能不适合.
- 需要进一步的研究来证实这些发现并指导临床实践.
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