输卵管妊娠保守性手术方式与预后的临床观察

Clinical Observation on Conservative Surgery for Tubal Pregnancy and Its Prognosis

目的：探讨提高输卵管妊娠保守性手术后妊娠率的方法。方法：对2000年1月～2004年12月在本院确诊为未破裂型输卵管妊娠的123例，采用不问手术方法行保守性手术，观察术后输卵管通畅情况、妊娠率及妊娠结局。结果：123例术后输卵管通畅107例（86．99％），通而不畅13例（10．57％），不通3例（2．4％）。宫内妊娠111例（90．24％），足月分娩109例1（88．61％），再次异位妊娠4例（0．32％）。总妊娠率为93．50％（115／123）。结论：根据输卵管妊娠的不同部位选择适当的保守性手术方法及术后早期通液呵提高术后妊娠率。

Objective： Use the non- injury microscopic surgery to conserve the tubal function, so as to maintain the ability of pregnancy and increase the incidence of pregnancy in non -ruptured tubal pregnancy patients. Methods： 123 patients with non - ruptured tubal pregnancy hospitalized in our department from July 2000 to December 2004 were operated to conserve the ability of pregnancy. All of operations carried out with microscopic surgery. Circumstances of the fallopian tube, the incidence and the pregnancy outcomes were observed after operation. Results： In 123 patients, the oviducts of 107 patients were free （ 107/123,86. 99% ）, 13 patients were difficult free（ 13/123,10. 57% ） while 3 patients were blocked. 111 patients had intrauterine pregnancy（ 111/123,90. 24% ）, 109 patients had term deliveries （ 109/123,88.61% ）, and 4 patients had repeated ectoPic pregnancy （4/123,0. 32% ） , The total conception rates were 115 patients（ 115/123,93.50% ）. Conclusion： Conservative management has been valued day by day. Pregnancy rate is the key to the treatment of tubal pregnancy. The selection of surgery mode to conserve the tubal function relates with the postoperative pregnancy rate. It has become one of the main methods to treat the ectopic pregnancy currently.