输卵管妊娠手术后对生育结局的影响

Study on the reproductive outcome in patients with oviduct pregnancy treated by operation

①目的探讨输卵管妊娠患者腹腔镜手术治疗后的生育结局及其影响因素。②方法回顾性分析382例输卵管妊娠妇女经手术治疗后的生育状况,比较开腹手术与腹腔镜手术、腹腔镜下输卵管保守手术与切除手术之间的区别。③结果在无不良病史及输卵管病变的174例患者中,腹腔镜组较开腹组、腹腔镜输卵管保守手术组较输卵管切除术组均有更高的宫内妊娠概率及较低的重复性异位妊娠概率,差异均有显著性(P<0.01)。④结论在影响输卵管妊娠手术治疗后生育结局的因素中,如患者没有不良病史及输卵管病变,则其生殖预后良好,腹腔镜子术明显优于开腹手术,保留输卵管的手术明显优于输卵管切除术。

Objective To investigate the reproductive outcome and its influencing factors in patients with oviduct pregnancy treated by operation.Methods A retrospective study was carried out to analyze the reproductive outcome in 382 cases with oviduct pregnancy after operation treatment,and differences were compared between laparoscopy group and laparotomy group,conservative oviduct surgery group and salpingectomy group.Results Among 174 cases without oviduct diseases and other disease history,the intrauterine pregnancy rate was higher,but the recurent ectopic pregnancy rate was lower in laparoscopy group and conservative oviduct surgery group than those in laparotomy group and salpingectomy group resprctively,and there was significant differencr between them（P0.01）.Conclusion There was better reproductive outcome if patients had no oviduct diseases and other disease history,and laparoscopy was better than laparotomy and conservative oviduct surgery was better than salpingectomy.