The Therapeutic Effectiveness of Laparoscopic Surgery Combined with Gestrinone for Infertile Women with Endometriosis

Objective To evaluate the therapeutic effectiveness of laparoscopic surgery combined with gestrinone treatment in the infertile women with endometriosis(EM),and the value of different score systems to predict gestational outcome.Methods We retrospectively analyzed the clinical data of 97 infertile women with EM who were treated in our hospital from January 2004 to December 2006,and collected their pregnancy rate(PR) and live birth rate(LBR) after operation.Results There was no significant difference of PR and LBR within the 1st year and between the 1st and the 2nd year(P0.05).There was no significant difference of PR among women of various stages of EM based on the 1985 edition of risk stratification for patients with EM put forward by American Fertility Society(r-AFS)(P0.05),but the LBR decreased with the raising of the stages(P0.05).The endometriosis fertility index(EFI) was positively correlated with PR and LBR(P0.05).Conclusion Laparoscopic surgery combined with gestrinone may increase the long-term pregnancy rate of women with EM.R-AFS classification is limited in predicting the gestational outcome of women with EM,while EFI achieves a better result.