输卵管妊娠保守性手术治疗的临床观察
【摘要】 目的 探讨输卵管妊娠保守性手术后提高宫内妊娠率的方法。方法 对2002年1月~2006年12月在本院确诊的38例未破裂型输卵管妊娠,采用保守性手术治疗,观察术后输卵管通畅情况、妊娠率及妊娠结局。结果 38例术后输卵管通畅33例(86.84% )，通而不畅3例(7.89% )，不通2例(5.26% )。宫内妊娠31例(81.57% )，足月分娩29例(76.31% )，再次输卵管妊娠2例(5.26% )。总妊娠率86.84% 。结论 根据输卵管妊娠部位选择适当的保守性手术方法并在术后早期进行输卵管通液可提高术后宫内妊娠率。【关键词】输卵管妊娠 保守手术 妊娠结局 受孕率
Clinical Observation of the Conservative Surgery for Tubal Pregnancy.Gu Xiaoying. Department of Obstetrics and Gynecology,Maternity and Child Care Hospital of Leiyang, Leiyang Hunan. 421800.
【Abstract】Objective Use the non-injury microscopic surgery to conserve the tubal function, so as to maintain the ability of pregnancy and increase the incidence of pregnancy in non-ruptured tubal pregnancy patients.Methods 38 cases with non-ruptured tubal pregnancy hospitalized in our department from July 2002 to December 2006 were operated to conserve the ability of pregnancy. All of operations carried out with microscopic surgery. Circumstances of the fallopian tube, the incidence and the pregnancy outcomes were observed after operation.Results In 38 patients, the oviducts of 33 cases were free(86.84% ), 3 patients were difficult free(7.89% ) while 2 patients were blocked(5.26%). 31 cases had in-trauterine pregnancy(81.57% ), 29 patients had term deliveries (81.57% ), and 2 patients had repeated ectopic pregnancy (5.26% ). The total conception rates were 86.84%.Conclusion The selection of surgery mode to conserve the tubal function relates with the postoperative pregnancy rate. ......
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