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目的通过对输卵管妊娠腹腔镜保守性手术术后持续性异位妊娠的临床观察,分析其发生的原因、解决措施及预防方法。方法:对汕头市潮阳区大峰医院于2011年2月至2013年11月收治的100例行输卵管妊娠腹腔镜保守性手术的患者术后持续性异位妊娠进行回顾性分析。结果:术后发生持续性异位妊娠共8例(8%),其术前血β-人绒毛膜促性腺激素水平程度,输卵管妊娠部位、黄体剥除率与持续性异位妊娠组比较,差异均具有统计学意义(P<0.05)。结论:术前血人绒毛膜促性腺激素水平、输卵管妊娠部位及黄体是否剥除皆与术后持续性异位妊娠的发生有密切关系。
Objective To analyze the causes, solutions and preventive measures of persistent ectopic pregnancy after laparoscopic conservative surgery for tubal pregnancy. Methods: A retrospective analysis of 100 consecutive patients with tubal pregnancy laparoscopic conservative surgery admitted to Dafeng Hospital of Chaoyang District from February 2011 to November 2013 was performed. Results: Postoperative continuous ectopic pregnancy occurred in 8 cases (8%). The preoperative blood β-human chorionic gonadotropin level, tubal pregnancy site, luteal phase removal rate and persistent ectopic pregnancy group were compared. The differences were statistically significant (P <0.05). Conclusion: Preoperative blood human chorionic gonadotropin levels, tubal pregnancy and luteal removal are closely related to the occurrence of persistent ectopic pregnancy.