文档介绍：腹腔镜下采用不同术式治疗输卵管妊娠后的生殖状态
陈晨张震宇李淑红史秀婷
首都医科大学附属北京朝阳医院妇产科 100020
[摘要] 目的:探讨腹腔镜下采用哪种手术方式治疗输卵管妊娠后,能改善其生殖状态,提高宫内妊娠率,降低再次异位妊娠风险。方法:回顾性分析我院1999年1月-2006年1月住院的339例输卵管妊娠病人,行腹腔镜手术治疗对希望保留生育能力并有随诊条件的118例患者,根据手术方式不同进行分组;A组是行患侧卵管开窗取胚术同时加用患侧卵管近端注射MTX30毫克的保留卵管手术,共62例; B组是在其已有一子女,对侧卵管外观正常或无法保留患侧卵管时行输卵管切除术,共56例;比较两组不同手术方式治疗输卵管妊娠后的生殖状态。结果:术后1年—3年内宫内妊娠率:A组是19例(%)与B组是16例(%)比较两组差异无显著性(P>);异位妊娠发生率:A组是11例(%)与B组是3例(%)比较两组差异具有显著性(P <)。结论:输卵管妊娠行腹腔镜下采用保留患侧卵管手术应慎用,宫内妊娠率虽然略高于切除组,但无统计学意义;相反增加了再次宫外孕发生的危险。
[关键词] 腹腔镜手术输卵管妊娠治疗生殖状态
Study on reproductive e of different laparoscopic operations of ectopic pregnancy Chen Chen ,Zhang zhenyu ,li shuhong et al (Department of Obstetrics and Gynecology ,Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences ,Beijing 100020 China .)
[Abstract] Objective: To investigate the reproductive e of different types of laparoscope operations of ectopic pregnancy .Study on the metho which improve the reproductive e Methods: 339 cases of ectopic pregnants patient were involved from to Jan,2006 . 118 cases wish to keep reproductive ability and fallowed up after laparoscope operations ,They were divided into two groups by different types of operations under laparoscope. Group A (n=62) were performed with laparoscopic fallopian tube reform group. Group B (n=56) were performed with laparoscopic fallopian tube ectomy group . T