输卵管妊娠保守性治疗与生殖功能的关系的临床研究

Clinical Study of Tubal Prenancy in Conservative Treatment and Fertility Function

目的探讨输卵管妊娠保守治疗与生殖功能的关系。方法对年龄23～25岁有生育要求的输卵管妊娠患者116例采用腹腔镜下保守性及根治性手术治疗；MTX全身及局部治疗。结果对其中随访的96例治疗患者妊娠结局的进行随访观察，其药物保守治疗宫内妊娠率略高于开腹显微镜保守性手术治疗及腹腔镜保守性手术治疗。三者都优于根治性手术治疗，差异有显著性（P≤0．005）。结论药物保守性治疗及开腹显微技术、腹腔镜保守性手术治疗适合于需要保留生育功能的妇女，使再次正常妊娠率增高，值得推广。

Objective To study the relationship between tubal pregnancy conservative treament and reproductive funtion. Methods 116 cases of tubal pregnancy patients hope reserve fertility function were treated with peritoneoscope conservation surgery, micro - conservative surgery and radical operation. MTX chemotherapy. Results 96 cases the uterine pregnancy rate of MTX chemotherapy was slightly higher than laparotomy micro - conservative surgery. The above were significantly higher than radical operation（P ≤0. 005 ）. Conclusion The durg conservative teratment,laparotomy micro- conservative surgery and peritonescope conservative surgery suitable for patients who hope reserve fertility and raise subsequent pregnancy rate.