Ali İrfan GÜZEL, Hasan Onur TOPÇU, İrfan ÖZER, Selçuk ERKILINÇ, Hüseyin YEŞİLYURT, Mustafa UĞUR

Abdominal myomektomi operasyonu geçiren infertil kadınlarda gebelik oranlarını etkileyen faktörler

Amaç:Kliniğimizde abdominal gebelik operasyonu geçiren infertil kadınlarda gebelik sonuçlarının irdelenmesidir Hastalar ve Yöntem:Bu retrospektif çalışma kliniğimizde abdominal myomektomi operasyonu geçiren 76 infertil kadın üzerinde yapılmıştır. Hastalar post-operatif gebelik oluşan (Grup 1;n:22) ve oluşmayan (Grup 2;n:54) olmak üzere iki gruba ayrılmıştır.Değerlendirilen klinik faktörler; yaş, parite,fibroid boyutu,vücut kitle indeksi,tümör markerları ve serum kan değerleridir. Bulgular:Çalışma süresince 76 infertil hasta abdominal myomektomi operasyonu geçirmiştir. Tüm hastaların 22 "si (% 28.94) gebe kalmıştır. Gruplar arasında yaş, VKİ ve fibroid boyutu açısından istatistiksel olarak anlamlı fark saptanmıştır (p

Anahtar Kelimeler:

fibroid, infertilite, abdominal myomektomi, gebelik oranı

Factors affecting pregnancy rates in infertile women performed abdominal myomectomy

Purpose:To evaluate pregnancy outcomes in infertile women performed abdominal myomectomy at our clinic. Patients and Methods:This retrospective study included 76 infertile women underwent abdominal myomectomy. The cases were divided into two groups according to postoperative pregnancy (Group 1, n=22), and cases with no postoperative pregnancy (Group 2, n=54). Risk factors recorded were; age, parity, size of the fibroids, body mass index (BMI), tumor markers and serum blood values. Results:A total of 76 infertile women underwent abdominal myomectomy during the study period. Of all cases 22 (28.94 %) became pregnant. There was statically significant difference between the groups in terms of age, BMI, diameter of the fibroids (p5 cm the treatment modality should be abdominal myomectomy to increase the chance of postoperative pregnancy.

Keywords:

fibroids, infertility, abdominal myomectomy, pregnancy rate,

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Yazışma Adresi / Address for Correspondence: Dr. Hasan Onur Topçu Zekai Tahir Burak Women Health Education and Research Hospital ANKARA E-mail: dronurtopcu@gmail.com. G eliş tarihi/Received on : 27.05.2014
Kabul tarihi/Accepted on: 20.06.2014