输卵管妊娠不同手术方式的再妊娠情况比较  

Comparison of repregnancy in different surgical methods of tubal pregnancy

作　　者：黄睿淳 伍雪梅 万波 Huang Ruichun;Wu Xuemei;Wan bo(Department of Obstetrics and Gynecology,The Third Affliated Hospital of Southern Medical University,Guangzhou 510630,China)

机构地区：[1]南方医科大学第三附属医院妇产科,广东广州510630

出　　处：《实用妇科内分泌电子杂志》2023年第31期26-28,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨腹腔镜下不同术式在输卵管妊娠患者中的再妊娠情况。方法回顾性分析207例输卵管妊娠患者的临床资料。根据治疗方法不同分为观察组(83例,采用腹腔镜输卵管开窗取胚术)与对照组(124例,采用腹腔镜切除患侧输卵管术)。比较两组患者术后2年的自然宫内妊娠率及重复异位妊娠率。结果观察组和对照组2年自然宫内妊娠率分别为56.6%(47/83)46.8%(58/124),比较差异无统计学意义(P>0.05);观察组和对照组患者重复异位妊娠率分别为8.4%(7/83)、4.8%(6/124),比较差异无统计学意义(P>0.05)。壶腹部和峡部妊娠经手术治疗后,自然宫内妊娠率分别为55.7%(34/61)、57.1%(8/14)。壶腹部妊娠重复异位妊娠4例,占比为6.6%(4/61),峡部妊娠重复异位妊娠1例,占比为7.1%(1/14)。结论腹腔镜输卵管开窗取胚术在输卵管异位妊娠中的再妊娠价值与腹腔镜输卵管切除术效果不明显,临床治疗决策需根据患者具体情况而定。Objective To investigate the repregnancy of patients with tubal pregnancy under different laparoscopic operations.Methods The clinical data of 207 cases of tubal pregnancy were analyzed retrospectively.According to different treatment methods,they were divided into observation group(83 cases)and control group(124 cases).The rates of spontaneous intrauterine pregnancy and repeated ectopic pregnancy were compared 2 years after operation between the two groups.Results The 2-year natural intrauterine pregnancy rates in the observation group and the control group were 56.6%(47/83)and 46.8%(58/124),respectively,with no statistical significance(P>0.05).The rates of repeated ectopic pregnancy in observation group and control group were 8.4%(7/83)and 4.8%(6/124),respectively,with no statistical significance(P>0.05).The spontaneous intrauterine pregnancy rates were 55.7%(34/61)and 57.1%(8/14),respectively.There were 4 cases of repeated ectopic pregnancy in ampulla(6.6%)and 1 case of repeated ectopic pregnancy in isthmus(7.1%).Conclusion The repregnancy value of laparoscopic fenestration in ectopic tubal pregnancy and the effect of laparoscopic salpingectomy are not obvious,and the clinical treatment decision should be based on the specific situation of the patient.

关 键 词：输卵管妊娠 输卵管切除术 输卵管开窗取胚术 自然宫内妊娠 重复异位妊娠 

分 类 号：R713.8[医药卫生—妇产科学]