Prediction of pregnancy in infertile women based on the American Society for Reproductive Medicine's revised classification of endometriosis

被引:138
作者
Guzick, DS
Silliman, NP
Adamson, GD
Buttram, VC
Canis, M
Malinak, LR
Schenken, RS
机构
[1] UNIV TEXAS, HLTH SCI CTR, DEPT OBSTET & GYNECOL, SAN ANTONIO, TX 78284 USA
[2] UNIV ROCHESTER, DEPT OBSTET & GYNECOL, ROCHESTER, NY 14627 USA
[3] US FDA, CTR DRUG EVALUAT & RES, ROCKVILLE, MD 20857 USA
[4] STANFORD UNIV, DEPT GYNECOL & OBSTET, STANFORD, CA 94305 USA
[5] UNIV TEXAS, DEPT OBSTET & GYNECOL, HOUSTON, TX USA
[6] UNIV CLERMONT FERRAND, DEPT OBSTET GYNECOL & REPROD MED, CLERMONT FERRAND, FRANCE
[7] BAYLOR COLL MED, DEPT OBSTET & GYNECOL, HOUSTON, TX 77030 USA
关键词
revised American Society for Reproductive Medicine's classification of endometriosis; infertility; pregnancy rates;
D O I
10.1016/S0015-0282(97)81392-1
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To estimate the empirical relationship between the revised American Society for Reproductive Medicine's classification of endometriosis and pregnancy rates after treatment. Design: Retrospective analysis. Patient(s): Patients seen by four practicing physicians. Intervention(s): Medical and/or surgical therapy for endometriosis. Main Outcome Measure(s): Pregnancy defined as ongoing or delivered. Result(s): There were no significant differences in pregnancy rates across stages of endometriosis. There was a slight decline in pregnancy rates among patients with Stage IV endometriosis, but statistical significance was not achieved. Conclusion(s): The use of an arbitrary weighted system for assigning scores to individual categories of disease, or for computing a total score, has limited the overall effectiveness of the classification system to predict pregnancy. (C) 1997 by American Society for Reproductive Medicine.
引用
收藏
页码:822 / 829
页数:8
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