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对输卵管妊娠52例有生育要求者,其中28例行切开输卵管壶腹部取胚胎术,10例行输卵管峡部破裂口修补术,7例行输卵管伞部成形术,5例行输卵管峡部端端吻合术,2例行输卵管子宫角部植入术。术后给MTX与中药等综合治疗2~5个月,对其中45例行输卵管通畅检查,双侧输卵管通畅4O例,通畅率为88.9%;有41例宫内妊娠,妊娠率为78.9%,另有1例再次异位妊娠。提示:对有生育要求的输卵管妊娠尽量根据输卵管的不同情况采用相应的手术方法,并应用有效的术后综合措施,对保留患者的生育功能和提高妊娠率有重要意义。
Of 52 cases of tubal pregnancy have requirements of childbearing, of which 28 cases of ampullary tubal incision embryo surgery, 10 cases of tubal isthmus repair, 7 cases of tubal umbrella angioplasty, 5 cases of tubal isthmus anastomosis Surgery, 2 cases of tubal uterine horn implantation. Postoperative MTX and traditional Chinese medicine and other comprehensive treatment of 2 to 5 months, of which 45 cases of tubal patency check, bilateral tubal patency 4O cases, patency rate was 88.9%; 41 cases of intrauterine pregnancy, the pregnancy rate was 78.9% Another case of ectopic pregnancy again. Prompted: the fertility requirements of tubal pregnancy tubal according to different situations as far as possible by the appropriate surgical methods, and the application of effective postoperative comprehensive measures to retain the patient’s reproductive function and improve pregnancy rate is important.