两种方法治疗输卵管妊娠后再妊娠结局分析

目的:探讨输卵管妊娠患者采用甲氨喋呤(MTX)治疗及腹腔镜手术保守治疗两种方法对患者再次妊娠的影响。方法:收集该院2002年1月~2005年12月确诊为输卵管妊娠、有生育要求的297例患者,其中185例行腹腔镜手术保守治疗,112例为MTX治疗,进行回顾性分析,随访2~3年。结果:MTX治疗者宫内妊娠率60.7%,异位妊娠率17.0%,腹腔镜手术者宫内妊娠率74.1%,异位妊娠率8.6%。两组比较差异有显著性(P<0.05)。结论:对有生育要求的输卵管妊娠患者首选腹腔镜下保守性手术治疗。

Analysis of pregnancy result after two treatments of tubal pregnancy

Objective:To analyze the pregnancy result after treatmemt of tubal pregnancy with methotrexate (MTX) and with laparoscopy.Methods:From January 2002 to January 2005, 297 womem of tubal pregnancy with desiring to conceive were selected, among them 185 cases were treated with laparoscopy, and 112 cases with MTX, were analyzed retrospectively. All cases were followed up for 2～3 years.Results:The rates of subsequent intrauterine pregnancy (IUP) in the laparoscopy group was 74.1% and that of recurrent extrauterine pregnancies (EP) was 8.6%. In the MTX group, the rates of IUP and EP were 60.7% and 17.0%. The differences between the two groups were significant.Conclusion:It is the first treatmemt with laparoscopy for womem of tubal pregnancy with desiring to conceive.