输卵管妊娠后再次妊娠的探讨

对输卵管妊娠后有生育要求的５８例行输卵管切除术，１５例行输卵管开窗术，３０例应用药物保守治疗。结果：１０３例治疗后６７例宫内妊娠，９例再次异位妊娠。

Fecundify after treatment of tubal pregnancy

his study is a follow-up analysis of 103 patients who desired to preserve their fertile ability after treatment of tubal pregnancy; Among the 103 cases, 58 were treated by unilateral salpingectomy,15 bysalpingostomy and 30 by drug conservative therapy.Results:67 cases had intrauterine pregnancy and 9cases repeated ectopic pregnancy. The intrauterine pregnancy rate of the surgical group(71.2%)was higher than that of the nonsurgical group(50.0%).And the pregnancy rate of salpingostomy group(86.7%)was higher than that of salpingectomy group (67.2%).No repeated ectopic pregnancy oc-curred in the salpingostomy group.After three rnonths of treatment, 45 cases were randomly sampled for tubal patency test;Bilateraltubal patency rate in salpingostomy group was 93.3%and in drug treat-ment group was 20.0%. These results indicated that tubal patency is an essential factor for normal pregnancy,Prevention of post-operative adhesion and treatment of pelvic inflammatory disease are im-portant for increasing intrauterine pregnancy rate and decreasing repeated ectopic pregnancy rate.