急诊妊娠黄体剥除术对预防持续性异位妊娠发生的作用

The effect of emergency corpus luteum cystectomy for the prevention of persistent ectopic pregnancy

目的探讨急诊妊娠黄体剥除术对预防持续性异位妊娠（PEP）发生的作用。方法回顾性分析68例急诊保守性手术的异位妊娠患者的临床资料。按手术方式分为观察组40例（行妊娠黄体剥除术）和对照组28例（未行此术）。比较两组术后血绒毛膜促性腺激素（β-HCG）下降情况，术后PEP发生情况。结果观察组PEP发生率0，明显低于对照组的10．7％（X^2=4．47，P〈0．05）。结论急诊妊娠黄体剥除术预防PEP发生的作用明显，且操作简单易行。

Objective To explore the effect of emergency corpus luteum cystectomy for the prevention of persistent ectopic pregnancy（PEP）. Methods The clinical data of 68 patients with ectopie pregnancy in emergency conservative operation were analyzed retrospectively. All patients were divided into the observation group（ treated with corpus luteum cystectomy ,40 cases） and control group（ without corpus luteum cystectomy, 28 cases）. The declining of β-HCG,incidence rate of PEP were compared between the two groups. Results The incidence rate of PEP of the ob- servation group was 0, which was obviously lower than that of the control group （ 10.7% ） （ X^2 = 4.47, P 〈 0.05 ）. Conclusion The emergency corpus luteum cystectomy can effectively prevent PEP and the operation is simple and convenient