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| Predictive value of endometriosis fertility index in the pregnancy modes of endometriosis patients after the laparoscopic surgery |
| DING Yalan1 WU Weiwei2 JI Liwei1 |
| 1.Department of Obstetrics and Gynecology, Suzhou Jiulong Hospital Affiliated to Medical College of Shanghai Jiaotong University, Jiangsu Province, Suzhou 215000, China; 2.Department of Obstetrics and Gynecology, Jiaxing Maternity and Child Health Care Hospital, Zhejiang Province, Jiaxing 314001, China |
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Abstract Objective To investigate the predictive value of endometriosis fertility index (EFI) in the pregnancy modes of endometriosis (EMT) patients after the laparoscopic surgery. Methods From January 2013 to December 2015, 98 endometriosis patients who underwent laparoscopic surgery in Suzhou Jiulong Hospital Affiliated to Medical College of Shanghai Jiaotong University were selected. According to the r-AFS staging standard, patients were divided into four stages and their natural pregnancy was observed within 3 years. EFI scoring system was used to evaluate the fertility of the patients, and their natural pregnancy was observed within 3 years in different groups. At the same time, the relationship between pregnancies after EMT with the r-AFS stage and EFI score was analyzed. The ROC curve was used to analyze the predictive value of EFI score for pregnant modes of EMT infertility patients after operation. Results In EMT infertility patients, the natural pregnancy rate decreased linearly with the increase of r-AFS stage (P < 0.05). The rate of natural pregnancy within 3 years after operation was positively correlated with EFI score (rs = 0.529, P < 0.01). Moreover, ROC curve analysis results showed that the area under the ROC curve of EFT score was 0.723. When the critical value of pregnancy predicted was 8.09 scores, the sensitivity was 68.26% and the specificity was 52.64%. Conclusion EFI score has a high predictive effect on the natural pregnancy after EMT infertility operation.
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