期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：2
页码：329-331
DOI：10.5604/12321966.1152089
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. Endometriosis is defined as an illness caused by the presence of foci of endometrial tissue outside the uterinecavity. The illness is found in 5–10% of women at reproductive age. In the group of those suffering from endometriosis, thepercentage of infertile women amounts to 50%. At higher stages of endometriosis clinical advancement, the suggestedtreatment is the application of assisted reproductive technology.Objective. The aim of the study was assessment of the effectiveness of laparoscopy in treating infertility related toendometriosis among women treated in our clinic in 2009–2012.Materials and method. The clinic is a medical centre focused on advanced minimally invasive surgical treatment, especiallylaparoscopic surgeries in diseases of the uterus – with a focus on laparoscopic surgeries for patients with endometriosisof the recto-vaginal area. 53 female patients treated for infertility who underwent a laparoscopic surgical procedure toremove the foci of endometriosis in 2009–2012, were analysed retrospectively. After the surgical procedure, the patientswere observed over a period of 12 months, during which the frequency of pregnancies (including natural and assistedpregnancies) was assessed in relation to the stage of endometriosis advancement (rAFS).Results. In 17 out of 53 (32%) patients who underwent the surgical procedure a clinical pregnancy was diagnosed. 11 out of53 (20.75%) women became pregnant spontaneously, 6 out of 53 (11.32%) patients became pregnant as a result of assistedreproductive technology (ART) (5 IVF and 1 IUI). The average time from the date of surgical procedure to spontaneouspregnancy amounted to 6 months.Conclusions. Laparoscopy is a vital therapeutic method. Operative laparoscopy is an efficient method for treating infertilityrelated to endometriosis, and the procedure seems to be the most effective particularly at stage III rAFS. The period forexpectant management after a surgical procedure should last 6 months
