摘要
目的 探讨输卵管妊娠保守性手术及不同手术方式的近期效果及妊娠结局。方法 对 88例未破裂型输卵管妊娠中 2 8例行剖腹输卵管切开取胚术 ,42例行腹腔镜下开窗术 ,18例行输卵管造伞术 ,绒毛种植部位注射甲氨蝶呤 (MTX) 2 0 -2 5mg。结果 无一例发生持续性异位妊娠 ,宫内妊娠率 46.0 %,重复异位妊娠率 16.2 %,腹腔镜开窗术组的宫内妊娠率 61.8%。结论 绒毛种植部位注射甲氨蝶呤可降低持续性异位妊娠率 。
Objective To study the early efficacy and subsequent fertility of open conservative surgery and different surgical management of tubal pregnancy.Methods In 88 cases of unruptuted tubal pregnancy,28 cases were performed by laparo salpingotomy,42 cases by salpingoplasty,18 cases by salpingostomatomy,and 20-25mg methotrexate (MTX) was injected into gestation site.Results NO persistent ectopic pregnancy (EP).The rates of subsequent intrauterine pregnancy (IUP) and recurrent EP were 46.0% and 16.2%,Inlinear salpingoslomy under laparoscope.The rates of subsequent IUP were 61.8%.Conclusions Local injection of MTX during salpingostomy can decrease the risk of persistent EP.The rates of uretal fluency and subsequent IUP are highest by salpingoplasty.
出处
《海南医学》
CAS
2004年第5期26-27,共2页
Hainan Medical Journal
关键词
输卵管妊娠
保守性手术
重复妊娠
手术方式
妊娠结局
异位妊娠
Ectopic pregnancy
Conservative surgery
Intrauterine pregnancy rate
Recurrent ectopic pregnancy rate
MTX
