持续性异位妊娠的影响因素分析

目的：回顾性分析异位妊娠保守性手术后持续性异位妊娠发生的原因。方法：随机选取我科2008年至2010年因异位妊娠行腹腔镜下输卵管开窗取胚术患者98例，并分成AB两组，A组患者74例术中给予稀释后甲氨喋呤管残腔内注射．B组患者24例未给于药物管腔注射，两组患者于术后第3天及第5天复查血清13一HCG，同时进行相应处理，根据妊娠部位及术中是否用药与发生持续性异位妊娠的概率进行比较。结果：A组74例患者无1例发生持续性异位妊娠，B组24例患者发生持续性异位妊娠3例，其中2例妊娠部位为输卵管伞端妊娠，结论：输卵管伞端妊娠组织开窗清除术与输卵管其他部位开窗取胚术比较发生持续性异位妊娠率高（P〈O．05）。术中输卵管中未给药（甲氨喋呤）比术中给药发生持续性异位妊娠率高（P〈0．05）。

Clinical Analysis of Influencing Factors of Persistent Ectopic Pregnancy after Laparoscopic Salpingostomy

Objective： To investigate influencing factors of persistent ectopic pregnancy after laparoscopic salpingostomy. Methods：98 patients had been diagnosed ectopic pregnancy with laparoscopic salpingostomy during 2008 to 2010 .They were divided into two groups according to the different treatment .74 cases were in groups A with MTX during operation,24 cases in groups B without MTX . Compared with the probability of occurrence of persistent ectopic pregnancy based on the pregnancy parts and intraoperative whether medication. Results： Persistent ectopic pregnancy can not be fund in group A. 3cases in group B were happened with persistent ectopic pregnancy.2 of them happened in fimbrial portion. Conclusions： Persistent ectopic pregnancy happened in fimbrial portion more often than other portion of oviduct. Persistent ectopic pregnancy happened more often with MTX was not used during operation than that was used.