输卵管妊娠保守性手术后的生殖状态研究及影响因素分析  

Study on reproductive outcome and influencing factors after conservative surgery of tubal preg-nancy

作　　者：赵新玲[1] 范造锋[1] 白玉[1] 

机构地区：[1]河南省洛阳市妇女儿童医疗保健中心妇科,471000

出　　处：《中国实用医刊》2016年第15期29-31,共3页Chinese Journal of Practical Medicine

摘　　要：目的：分析影响输卵管妊娠保守性手术后不同生殖状况的相关因素，探讨提高术后宫内妊娠率的方法。方法对126例输卵管妊娠患者开腹及腹腔镜保守性手术治疗后的生殖状况及影响因素进行多分类变量Lo-gistic回归分析及χ2分析，找出影响术后宫内妊娠、重复性异位妊娠及不孕的原因。结果126例输卵管妊娠患者术后宫内妊娠65例（51.6%），重复性异位妊娠27例（21.4%），不孕34例（27.0%）。Logistic回归分析提示人工流产、盆腔炎、异位妊娠、输卵管粘连是影响输卵管妊娠保守性手术后妊娠结局（宫内妊娠、异位妊娠、不孕）的重要影响因素。结论预防盆腔炎性疾病，正确避孕，积极治疗不孕症是改善输卵管妊娠术后生殖状况的重要手段。Objective To analyze the relative factors that influence the reproductive outcomes after conservative surgery of tubal pregnancy and to investigate the methods which improve uterine preg-nancy rate. Methods Multiple logistic regression analysis and χ2 analysis were used to analyze the re-productive outcomes and relative influencing factors in 126 women with tubal pregnancy treatment by lap-rotomy and laproscopy. Results There were 65 cases（51. 6%）of intrauterrine pregnancy,27 cases （21. 4%）of recurrent ectopic pregnancy,34 cases（27. 0%）of infertility in 126 women who received conservative surgery with tubal pregnancy. Induced abortion,pelvic infection,ectopic pregnancy,fallo-pian tube adhesion were the major influencing factors of productive outcome after conservative surgery of tubal pregnancy. Conclusions Prevention of pelvic inflammatory disease,right contraception,agrres-sive management of infertility are the important messures to improve the reproductive outcome of women after surgery treatment of tubal pregnancy.

关 键 词：输卵管妊娠 保守性手术 生殖状态 盆腔炎性疾病 

分 类 号：R714.22[医药卫生—妇产科学]