重复输卵管妊娠保守治疗与保守性手术后宫内妊娠率分析

Analysis of Intrauterine Pregnancy Rate After Conservative Treatment of Repeat Tubal Pregnancy with Drugs and Surgery Respectively

目的:比较分析重复输卵管妊娠患者经药物保守治疗及保守性手术治疗后的宫内妊娠(IUP)率,探讨IUP率的影响因素。方法:收集我院自1994年6月至2001年6月住院的符合本研究要求的重复输卵管妊娠22例,保守性治疗12例为A组,开腹保守性手术10例为B组,患者出院后随访2年其宫内妊娠情况。结果:A组2年内总妊娠率58.3%,B组2年内总妊娠率40.0%,但两者比较,差异无显著性(P>0.05)。结论:保守治疗组的IUP率稍高于保守性手术组。不同的治疗方法,治疗后IUP率不同,同时其IUP率还与对侧输卵管情况及痊愈出院后的继续相应治疗等有关。

Ohjective:To analyse the rate of intrauterine pregnancy ( IUP) after conservative treatment of repeat tuhal pregnancy with drugs and surgery respectively,to assess the factors of the rates of IUP. Methods: From June 1994 to June 2001 ,22 women wih confirmed tuhal pregnancy were selected, Among them 12 women were treated with drugs and 10 women with surgery. All cases were followed up for 2 years after treatment. Results:The rates of IUP in the drugs group and the surgery group were 58. 3% and 40. 0% respectively. The difference between the two groups was not statistically significant ( p > 0. 0.5 ). Conelusion:The rates of IUP with drugs was higher than those with surgery. The rates of IUP were difference with different treatment. Moreover the rate of IUP was related to the opposite tubal slate and continuing treatment after leaving hospital.