腹腔镜手术治疗宫外孕对再次怀孕的影响

Laparoscopic Surgical Treatment of Ectopic Pregnancy for the Impact of Re-pregnancy

目的研究腹腔镜手术及开腹手术治疗宫外孕对于术后再次怀孕的影响。方法对在本院接受腹腔镜及开腹手术治疗且有生育要求的患者进行回访,统计不同手术治疗方式患者术后的再怀孕情况。结果腹腔镜组术后宫内妊娠发生率明显高于开腹组,P<0.05;两组术后再次宫外孕发生率无明显差异,P>0.05。结论腹腔镜手术患者术后再次宫内怀孕的机率更高,且不会提高患者再次宫外孕机率,对于宫外孕后再次宫内怀孕具有积极影响。

Objective To study laparoscopic surgical and laparotomy surgical treatment of ectopic pregnancy for the impact of re-pregnancy. Methods Patients with laparoscopic and open surgery and fertility requirements in our hospital were required for a return visit, to statistically analyze the postoperative re-pregnancy of patients receiving different surgical treatment. Results Postoperative intrauterine pregnancy of the laparoscopic group was significantly higher than the laparotomy group （P 〈0.05）; the incidence of postoperative ectopic re-pregnancy of the two groups was not significantly different （P 〉0.05）. Conclusions Laparoscopic surgery has a higher probability of postoperative intrauterine re-pregnancy for patients, and will not increase the probability of ectopic re-pregnancy, which has a positive impact on intrauterine re-pregnancy after ectopic pregnancy.