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目的:分析行异位妊娠切开取胚术后的再孕率,探讨影响再孕的相关因素。方法:将186例输卵管妊娠患者分为开腹组(97例)和腹腔镜组(89例),分别于出院后3个月时行输卵管碘油造影术,并于次月行超声下输卵管通液术,随访48个月后再次妊娠情况。结果:开腹组宫内妊娠43例(44.3%),双侧输卵管通畅20例(46.5%);腹腔镜组宫内妊娠55例(61.8%),双侧输卵管通畅37例(67.3%),两组相比具有统计学差异P<0.05。结论:腹腔镜切开取胚术后双侧输卵管通畅率及宫内妊娠率高于传统开腹切开取胚术。
OBJECTIVE: To analyze the pregnancy rate of ectopic pregnancy after embryo fetching and embryo resection, and to explore the influencing factors of pregnancy. Methods: One hundred and sixty-six tubal pregnancy patients were divided into laparotomy group (n = 97) and laparoscopic group (n = 89), and tubal lipiodol angiography was performed at 3 months after discharge. Fluidics, follow-up 48 months after pregnancy again. Results: Intrauterine pregnancy in 43 cases (44.3%) and unilateral tubal patency in 20 cases (46.5%) in laparotomy group; intrauterine pregnancy in 55 cases (61.8%) and unilateral tubal patency in 37 cases (67.3% There was a statistically significant difference between the two groups (P <0.05). Conclusions: The success rate of bilateral tubal patency and intrauterine pregnancy after laparoscopic surgery is higher than that of conventional laparotomy.