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1976～1986年作者对243例异位妊娠手术的妇女进行分析,比较术后生育力。分为二组:Ⅰ组63例输卵管妊娠行保留器官手术;Ⅱ组180例输卵管妊娠行输卵管切除术。结果1981年以来,保留输卵管的手术持续上升,1986年首次超过输卵管切除术。保留器官手术在平均孕7～8周至输卵管破裂时进行,大多数在孕10周输卵管破裂才入院。壶腹部异位妊娠>52％。63例保留器官的手术中,妊娠率为47.6％和活产率为36.5％。异位妊娠的复发率为6.3％,1例发生于第3次异位妊娠之后。术前所有病人均切盼小孩,45例(71.4％)妇女术后仍有这个愿望。30例
From 1976 to 1986, the authors analyzed 243 ectopic pregnancies in women and compared postoperative fertility. Divided into two groups: Ⅰ group of 63 cases of tubal pregnancy line organ preservation surgery; Ⅱ group of 180 cases of tubal pregnancy underwent tubal resection. Results Since 1981, the operation to retain the fallopian tubes continues to rise, surpassing tubal surgeries for the first time in 1986. Retention of organ surgery in the average pregnancy 7 to 8 weeks to fallopian tube rupture, the majority of tubal rupture in 10 weeks before admission. Ampullary ectopic pregnancy> 52%. 63 cases of organ preservation surgery, pregnancy rate was 47.6% and live birth rate was 36.5%. The recurrence rate of ectopic pregnancy was 6.3%, one case occurred after the third ectopic pregnancy. All patients were looking forward to preoperative children, 45 patients (71.4%) women still have this desire after surgery. 30 cases