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输卵管妊娠应用腹腔镜3种保守手术治疗后的妊娠结局比较
引用本文:万忠艳,王丽,王泽曼,朱伟杰. 输卵管妊娠应用腹腔镜3种保守手术治疗后的妊娠结局比较[J]. 生殖与避孕, 2011, 31(9): 640-642
作者姓名:万忠艳  王丽  王泽曼  朱伟杰
作者单位:1. 珠海市第二人民医院妇产科,珠海,519020
2. 珠海市第二人民医院手术室.珠海,519020
3. 暨南大学生命科技学院,生殖免疫研究所,广州,510632
摘    要:目的:比较3种腹腔镜保守手术治疗输卵管妊娠患者术后的妊娠结局。方法:初次、未破裂输卵管妊娠且有生育要求的患者268例,均符合腹腔镜保守治疗标准并能够配合随访,腹腔镜下保守手术术式包括输卵管切开取胚术(n=147)、修补术(n=85)和挤压术(n=36),术后随访2年,比较输卵管通畅率及妊娠率。结果:应用输卵管修补术后患侧输卵管通畅率和妊娠率均显著高于切开取胚术及挤压术(P<0.05)。结论:对于合适的输卵管妊娠者应用输卵管修补术治疗能够保留患侧输卵管并获得较好的妊娠结局。

关 键 词:输卵管妊娠  腹腔镜  保守治疗  妊娠结局

Comparison of Pregnancy Outcome after Three Types of Laparoscopic Conservative Treatment for Tubal Pregnancy
Zhong-yan WAN,Li WANG,Ze-man WANG,Wei-jie ZHU. Comparison of Pregnancy Outcome after Three Types of Laparoscopic Conservative Treatment for Tubal Pregnancy[J]. Reproduction and Contraception, 2011, 31(9): 640-642
Authors:Zhong-yan WAN  Li WANG  Ze-man WANG  Wei-jie ZHU
Affiliation:Zhong-yan WAN1,Li WANG2,Ze-man WANG1,Wei-jie ZHU3(1.Department of Obstetrics and Gynecology,the Second People Hospital of Zhuhai,Zhuhai,519020)(2.Department of Operation Room,519020)(3.Institute of Reproductive Immunology,Jinan University,Guangzhou,510632)
Abstract:Objective: To compare pregnancy outcome after three types of laparoscopic conservative treatment for tubal pregnancy.Methods: A total of 268 patients with nonruptured tubal pregnancy who had no history of tubal pregnancy and desired future pregnancy were enrolled into this study.All patients met the criteria of laparoscopic conservative treatment.These cases were assigned to undergo laparoscopic conservative salpingotomy without sutur-ing(n=147),salpingotomy with suturing(n=85) or fimbrial evacuation(n=36),...
Keywords:tubal pregnancy  laparoscope  conservative treatment  pregnancy outcome  
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