排卵监测指导受孕在减少重复性异位妊娠中的作用

The Roles of Conception Guided by Ovulation Detection in Reducing Recurrent Ectopic Pregnancy

目的探讨排卵监测指导受孕在减少重复性异位妊娠中的作用。方法对14例异位妊娠保守性手术及保守治疗后希望生育的患者,通过常规的输卵管通水或造影、抗感染、理疗、活血化瘀的中药口服或灌肠等综合治疗消除输卵管黏膜及输卵管周围炎,疏通输卵管等综合治疗后,于准备受孕前行子宫输卵管造影,选择健侧或相对健侧输卵管,监测排卵,指导同侧卵巢排卵时受孕。结果 14例患者中11例(78.57%)获得了宫内妊娠;1例(0.71%)再次发生了异位妊娠,2例(14.29%)患者未获得妊娠。结论排卵监测指导健侧或相对健侧输卵管受孕,能有效提高异位妊娠术后患者的宫内再孕概率,减少重复性异位妊娠的发生。

Objective To explore the roles of conception guided by ovulation detection in reducing recurrent ectopic pregnancy. Methods 14 women with ectopic pregnancy after conservative surgery and treatment would like to get pregnant again.They were provided with comprehensive therapies like conventional hydrotubation or salpingography,anti-infection,physical therapy,and oral administration of traditional Chinese medicine with effects of invigorating blood and resolving blood stasis in order to eliminate inflammation in mucous of fallopian tube and around the fallopian tube and dredge the tube.The hysteron-salpingography was performed before conception.The normal side or relatively normal side of the fallopian tube was selected and the ovulation was detected.On the guidance of ovulation from the same side of the ovary,conception happened. Results 11 out of 14 women got intrauterine pregnancy,accounted for 78.57%. There was ectopic pregnancy recurred in 1 case （0.71%）,and the other 2 cases （14.29%） didn ’t get pregnant. Conclusion The conception from the normal side or relatively normal side of the fallopian tube guided by ovulation detection can effectively increase the possibility of intrauterine repregnancy after surgery due to ectopic pregnancy,and reduce the incidence of recurrent ectopic pregnancy.