输卵管妊娠保守性手术96例分析

被引：33

作者：

缪敏芳

洪丽华

机构：

[1] 浙江大学医学院附属妇产科医院

来源：

中国实用妇科与产科杂志 | 2001年 / 10期

关键词：

异位妊娠; 保守性手术; 持续性异位妊娠; 宫内妊娠率; 重复异位妊娠率;

D O I：

暂无

中图分类号：

R714.22 [异位妊娠（子宫外孕）];

学科分类号：

摘要：

目的　探讨输卵管妊娠保守性手术及不同手术方式的近期效果及妊娠结局。方法　对 96例未破裂型输卵管妊娠中的 77例行输卵管线型切开术 ,19例行输卵管伞端胚囊挤出术。绒毛种植部位注射甲氨蝶呤 2 0～ 3 0mg。结果　 2 4%的患者发生持续性异位妊娠 ,均为行伞端挤出术患者。宫内妊娠率为 4 1 5 %,重复异位妊娠率为 2 5 6%。对侧输卵管正常者 ,宫内妊娠率及重复异位妊娠率分别为 70 5 %和 2 2 8%;当对侧输卵管异常或已被切除者 ,宫内妊娠率及重复异位妊娠率为 7 9%和 2 8 8%。结论　绒毛种植部位注射甲氨蝶呤可降低持续性异位妊娠率 ,而伞端绒毛挤出术后发生持续性异位妊娠的可能性较大 ,应尽量避免。

引用

页码：26 / 28

页数：3

共 7 条

[1]

Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy. Seifer DB,Gutmann JN,Grant WD,et al. Obstetrics and Gynecology . 1993

[2]

Methotrexate prophylaxis for persistent ectopic pregnancy after conservative treatment by salpingostomy. Gracigkowski JW,Mishell DR. Obstetrics and Gynecology . 1997

[3]

Is salpingostomy the surgical treatment of choice for unruptured tubal pregnancy. Rmilin MC. Obstetrics and Gynecology . 1995

[4]

Reproductive outcome after conservative surgery for unruptured tubal pregnancy: a 15 - year experience. Lamger R,Raziel A,Ron-EI R,et al. Fertility and Sterility . 1990

[5]

Reproductive outcome after conservative surgery for unruptured tubal pregnancy: a 15 - year experience. Lamger R,Raziel A,Ron-EI R,et al. Fertility and Sterility . 1990

[6]

Current status of surgical and nonsurgical management of ectopic pregnency. Yao M,Tulandi T. Fertility and Sterility . 1997

[7]

Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy. Seifer BD,Gutmann JN,Grant,et al. Obstetrics and Gynecology . 1993

← 1 →