Abdominal Myomektomiden Sonraki Gebelik Ve Gebelik Kayıpları: Bir Retrospektif Analiz

Yıl 2007, Cilt: 4 Sayı: 3, 79 - 83, 01.12.2007

Fatma Ferda Verıt

Öz

Amaç: Çalışmanın amacı abdominal myomektomilerin gebelik ve gebelik kayıpları oranları üzerindeki etkilerini değerlendirmekti. Gereç-yöntem: Gebe kalmak isteyen ve abdominal myomektomi yapılan 35 infertil hastanın verileri toplandı ve retrospektif olarak incelendi. Hasta karakteristikleri, myomların özellikleri ve birlikte eşlik eden tubal, ovulatuar, erkek faktörü gibi infertilite faktörleri sistematik bir şekilde toplandı. Bulgular: Gebe kalma oranı abdominal myomektomi öncesi sırasıyla %25.7 ve cerrahi sonrası % 68.5 idi. Gebelik kayıpları ve canlı doğum ise sırasıyla myomektomi öncesi % 71.4 ve 9.1% ve myomektomi sonrası 28.6% ve 90.9% idi. Sonuçlar: Sonuçlarımız, abdominal myomektomilerin intramural ve subserozal myomlara sahip infertilite ve gebelik kayıplarına sahip hastalarda reprodüktif performansı geliştirdiğini düşündürmektedir

Anahtar Kelimeler

abdominal myomektomi, gebelik oranları, gebelik kayıpları

Pregnancy Rates And Loss Before And After Abdominal Myomectomy: A Retrospective Analysis

Öz

Background: The aim of the study was to establish the impact of abdominal myomectomy on pregnancy rates and loss. Methods: Data of 35 infertile patients who underwent abdominal myomectomy and wished to conceive after surgery were evaluated retrospectively. The characteristics of the patients, myomata and associated infertility factors such as tubal, ovulatory and male factor were collected in a systematic way. Results: Conception rate was 25.7% before myomectomy and 68.5% after the surgery. The pregnancy loss and live birth rate was 71.4% and 28.6% premyomectomy and 9.1% and 90.9% postmyomectomy. Conclusions: Our results suggest that abdominal myomectomy might improve reproductive outcome in patients with intramural and subserosal myomas presenting with infertility and pregnancy loss

Anahtar Kelimeler

abdominal myomectomy, pregnancy rates, pregnancy loss

Kaynakça

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