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| Analysis of pregnancy outcomes and related factors of women after hysteroscopic endometrial polypectomy |
| 1.Nanjing Central Hospital, Jiangsu Province, 210018; 2. The First Hospital of Nanjing |
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Abstract To analyze pregnancy outcomes and related factors of women after hysteroscopic endometrial polypectomy. Methods: 225 infertility women with endometrial polyps were selected and were given hysteroscopic endometrial polypectomy in the past two years. The pregnancy outcomes of these women in 12 and 24 months after operation were analyzed. Results: The normal delivery rate and the natural pregnancy rate (21.3% and 24.0%) of these women in the 24th month after surgery were significant higher than those (13.3% and 20.0%) of these women in the 12th month after surgery (P<0.05). Multivariate logistic regression analysis indicated that age ≥30 years old, number of polyp ≥2, polyp diameter ≥1cm, polyp site in posterior wall or uterine corners, body mass index (BMI) ≥28kg/m2, history of diabetes and secondary infertility could influence postoperative pregnancy outcomes (P<0.05). Conclusion: Hysteroscopic polypectomy for treating women with endometrial polyps has good clinical effect and pregnancy outcomes, and the pregnant effect and natural delivery rate of women in 24 months after operation are better. Age, number of polyps, polyp diameter, polyp location, BMI, history of diabetes mellitus, and type of infertility influence the pregnancy outcomes.
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