3种治疗方法对异位妊娠后再孕率的影响

Study of the impact of three treatments In ectopic pregnancy for the repregnant rate.

目的探讨异位妊娠3种治疗方法对再孕率的影响。方法对因异位妊娠的128例患者分别行药物杀胚、输卵管切除及输卵管保留手术治疗,进行回顾性分析。术后随访2年比较3组再孕率。结果3组宫内妊娠率差异无统计学意义(P>0.05),保留组和药物组的重复异位妊娠率明显高于切除组(P<0.05),但切除组2年未孕率明显高于另2组(P<0.05)。结论异位妊娠治疗中过分强调保留输卵管是不必要的。

Objective To evaluate the impact of three treatments in ectopic pregnancy for the repregnant rate. Methods The clinical data 128 cases with ectopic pregnancy were retrospectively studied. The patients were divided into three groups （drug,conservative tubal surgery and salpingectomy ） and the repregnant rate was compared two years later. Results There was no significant difference in repregnant rate between three groups （ P 〉 0.05 ）. The rate of repeated ectopic pregnancy in the first two groups were obviously higher than the salpingectomy group （ P 〈 0.05 ）, but the rate of non-pregnancy in the salpingectomy group was considerably higher than the other two. groups two years later （ P 〈 0.05 ）. Conclusion It is unnecessary to put emphasis on reserving fallopian tube excessively.