输卵管妊娠手术方式的探讨  

Investigation on surgical methods for tubal ectopic pregnancy

作　　者：宋晓晨[1] 于昕[1] 郎景和[1] SONG Xiao-Chen;YU Xin;LANG Jing-he(Department of Obstetrics&Gynecology,Peking Union Medical College Hospital,Peking Union Medical College/Chinese Academy of Medical Sciences,Beijing 100730)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇产科,北京100730

出　　处：《生殖医学杂志》2020年第10期1379-1382,共4页Journal of Reproductive Medicine

基　　金：国家重点研发计划-生殖健康及重大出生缺陷防控研究(2018YFC1002105)。

摘　　要：输卵管妊娠是最常见的一种异位妊娠,超过异位妊娠总数的90%,治疗方法包括期待疗法、药物治疗及手术治疗。手术作为治疗方法之一,主要包括输卵管切除术及输卵管造口术。输卵管切除术是治疗输卵管妊娠的主要方法,但对于有生育要求的育龄期女性来说,相对保守的输卵管造口术更易被接受。本文对两种手术方式的相关文献进行复习,以探讨输卵管妊娠的手术选择。The majority of ectopic pregnancies(more than 90 percent)occur in the fallopian tube.The treatment methods contain surgical,medical,and expectant management.There are two choices of surgical approach for tubal ectopic pregnancy:salpingectomy and salpingostomy.Traditionally,salpingectomy has been the standard procedure.However,salpingostomy provides a conservative option,which is more acceptable for young women.This paper reviews the literatures about the two types of surgical approach and explores surgical selection of tubal ectopic pregnancy.

关 键 词：输卵管妊娠 输卵管切除术 输卵管造口术 

分 类 号：R713.5[医药卫生—妇产科学]