不同方法治疗输卵管妊娠后生育结局的临床分析

目的评价不同方法治疗输卵管妊娠后的生育能力.方法回顾性分析176例首次输卵管妊娠患者经手术治疗和药物保守治疗后的生育状态,比较手术治疗与药物治疗、输卵管保守手术与根治性手术、腹腔镜手术与开腹手术之间的区别.结果宫内妊娠率在手术组为59.6%,在药物治疗组为52.8%,两组重复异位妊娠率分别为14.4%和13.9%,两组不孕率分别为26.0%和33.3%,较差异无统计学意义（P〉0.05）;宫内妊娠率在输卵管保守手术组为62.5%,在根治手术组为55.0%,两组重复异位妊娠率分别为17.2%和10.0%,两组不孕率分别为20.3%和35.0%,差异无统计学意义（P〉0.05）;宫内妊娠率在腹腔镜手术组为69.8%,在开腹组为43.9%,两组重复异位妊娠率分别为12.7%和17.1%,两组不孕率分别为17.5%和39.0%,差异有统计学意义（P〈0.05）.结论输卵管妊娠可根据具体情况行手术治疗或者药物治疗;手术治疗应尽量选择腹腔镜手术;输卵管病情是决定手术方式的关键因素,应以保护患者生育能力,解除不孕隐患为原则.

Analysis of Reproductive Outcome after Different Management Strategies for Tubal Pregnancy

Objective To investigate reproductive outcome after different management strategies for tubal pregnancy.Method A retrospective study was carried out to analyse the reproductive outcome of 176 cases after different management strategies for tubal pregnancy.Results The intrauterine pregnancy rate was 59.6% in surgery group and 52.8% in medical treatment group.The recurrent ectopic pregnancy rate was 14.4% in surgery group and 13.9% in medical treatment group.The infertility rate was 26.0% in surgery group and...