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目的:了解输卵管妊娠患者开腹行患侧输卵管切除术后生殖状况,以指导输卵管妊娠的临床治疗。方法:选择我院2004年至2007年因输卵管妊娠行开腹患侧输卵管切除术患者183例术后的生殖状况进行随访调查,回顾性分析其再次受孕及输卵管妊娠情况。结果:在有生育要求的107位患者中,总的宫内妊娠率为64.5%(69/107例),8.7%复发输卵管妊娠(6/107例)。宫内受孕率以<30岁,术后1~2年最高,中重度贫血及盆腔中重度黏连导致宫内受孕机率下降;复发输卵管妊娠与年龄及术后时间无相关性,随贫血程度及盆腔黏连程度的加重进行性增加。结论:开腹患侧输卵管切除术后生殖状况与年龄、术后时间、盆腔黏连程度、贫血程度密切相关。及时手术,减轻贫血程度,细致分黏,合理生殖健康指导,能有效提高宫内妊娠,降低复发输卵管妊娠。
OBJECTIVE: To understand the reproductive status of tubal pregnancy patients undergoing tubal resection and to guide the clinical treatment of tubal pregnancy. Methods: A total of 183 postoperative reproductive conditions in our hospital from 2004 to 2007 due to tubal pregnancy were analyzed retrospectively. Re-fertilization and tubal pregnancy were retrospectively analyzed. RESULTS: Of the 107 patients with reproductive requirements, the total intrauterine pregnancy rate was 64.5% (69/107 cases) and 8.7% of recurrent tubal pregnancies (6/107 cases). Intrauterine pregnancy rate of <30 years, 1 to 2 years after the highest, moderate to severe anemia and pelvic moderate to severe adhesions lead to intrauterine pregnancy rate decreased; recurrent tubal pregnancy and age and postoperative time was not related to the degree of anemia and Pelvic adhesions increased progressively increased. CONCLUSION: The reproductive status of patients with tubal ipsilateral tubal resection is closely related to age, postoperative time, degree of pelvic adhesions and degree of anemia. Timely surgery to reduce the degree of anemia, careful sticky, reasonable reproductive health guidance, can effectively improve intrauterine pregnancy, reduce recurrence of tubal pregnancy.