输卵管妊娠β-人绒毛膜促性腺激素值对术后输卵管功能的影响

Correspondence between preoperative serum β-HCG leve l and postoperative tubal patency in tubal pregnancy

目的探讨输卵管妊娠,术前血β-人绒毛膜促性腺激素(β-HCG)值对保守性手术后患侧输卵管通畅功能的影响.方法 128例输卵管妊娠未破裂型患者行保守性手术治疗,手术后3～6个月内行输卵管造影术,了解术后输卵管的通畅情况与手术前血中β-HCG值高低的关系.结果 76例术前β-HCG值在3 U/L以下的输卵管妊娠患者中,保守性手术后患侧输卵管通畅率为68%;54例术前β-HCG值3 U/L以上的输卵管妊娠患者,保守性手术后患侧输卵管通畅率为35.7%,两者比较差异有显著意义.结论输卵管妊娠时,术前血β-HCG值越高,保守性手术后的患侧输卵管通畅率越低.

Objective To discuss the influence of preoperative serum β-HCG level on fallopian tube patency after tubal pregnancy is treated with conservative surgeries. Methods On 128 patients who underwent conservative surgeries of documented tubal pregnancies without rupture,hysterosaipingograms were ordered 3-6 months postoperatively,trying to establish any correspondence between serum preoperative β-HCG level and affected tube patency. Results Tubal patency rate based on hysterosalpingogram（HSG） was 68% in the patient group of 76 patients whose preoperative serum β-HCG was below 3U/L,comparing with the rate of 35.7 % , which was obtained in the other group of 52 patients,whose β-HC, G level was higher than 3U/L. Conclusion In patients whose tubal pregnancies without rupture were treated with conservative surgical regimen, there is a negative correspondent relationship between preoperative serum t3-HCG level and postoperative tubal patency rate. I. E, the higher the former, the lower the later.