输卵管妊娠保留输卵管手术后综合疗法的宫内妊娠探讨

Research on Synthesis Treatment of Uterogestation After The Operation of Tubal Pregnancy

对输卵管妊娠52例有生育要求者，其中28例行切开输卵管壶腹部取胚胎术，10例行输卵管峡部破裂口修补术，7例行输卵管伞部成形术，5例行输卵管峡部端端吻合术，2例行输卵管子宫角部植入术。术后给MTX与中药等综合治疗2～5个月，对其中45例行输卵管通畅检查，双侧输卵管通畅4O例，通畅率为88.9％；有41例宫内妊娠，妊娠率为78.9％，另有1例再次异位妊娠。提示：对有生育要求的输卵管妊娠尽量根据输卵管的不同情况采用相应的手术方法，并应用有效的术后综合措施，对保留患者的生育功能和提高妊娠率有重要意义。

To study 52 tubal pregnancy cases, according to patient's request for giving child birth,we have operated on 28 for salpingotomy to transfer embryo,10 for isthmus tube uterinae part, 7 for tubalplasty on parachuter-like part, 5 for tubalstomy on end to end of isthmus and 2 for transplant from link between oviduct and utero. After operation we treat them with herbs and MTX for two to five months. Study shows that there are 40 whose two sides oviduct are unobstructed,unobstructed rate is 88. 9 %,there are 41 with uterogestation,gestation rate is 78. 9% and 1 with abnormal gestation again.Note: according to the different tubal condition, we can adopt effective measures for patients who request for bearing child. It has significance for keeping the ability of bearing and enchancing gestation rate.