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目的探讨不同保守治疗方法对输卵管妊娠治疗的临床疗效。方法采用回顾性及随访的方法研究245例不同方法保守治疗输卵管妊娠及治疗后输卵管再通情况,随访近3年的妊娠情况。结果腹腔镜及开腹手术组术后患侧输卵管再通率均为73%,再孕率相当,药物保守治疗组为30%,再孕率最低;对侧输卵管有损害和正常者,受孕率分别为41%和79%。结论输卵管妊娠后再通率手术治疗较药物保守治疗高,治疗后妊娠率与治疗方式及对侧输卵管是否受损有关。
Objective To investigate the clinical efficacy of different conservative treatment of tubal pregnancy. Methods A retrospective and follow-up study of 245 cases of different methods of conservative treatment of tubal pregnancy and post-tubal recanalization, follow-up of nearly 3 years of pregnancy. Results Laparotomy and open surgery group postoperative tubal recanalization rate were 73%, and the second pregnancy rate was quite conservative treatment group was 30%, the lowest re-pregnancy rate; contralateral fallopian tube damage and normal pregnancy rate Respectively 41% and 79%. Conclusions The rate of recanalization after tubal pregnancy is higher than that of conservative treatment. The pregnancy rate after treatment is related to the treatment and contralateral fallopian tube injury.