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目的 探讨异位妊娠不同手术方式对再次妊娠的影响。方法 选取手术治疗的异位妊娠患者5 3例 ,分为输卵管切除组与输卵管开窗组 ,进行随访观察。结果 切除组及开窗组再次妊娠比例分别为81 0 %和 84 4 % ,宫内妊娠率分别为 90 0 %和 81 8% ,足月分娩比例分别为 80 0 %和 85 7% ,差异均无显著意义 (P >0 0 5 )。两组再次异位妊娠比例分别为 10 0 %和 18 2 % ,差异有显著意义 (P <0 0 5 )。结论 输卵管开窗术后妊娠率并不明显高于一侧输卵管切除的患者 ,而再次异位妊娠机会明显增高。
Objective To investigate the effect of different surgical methods of ectopic pregnancy on pregnancy again. Methods Fifty-three patients with ectopic pregnancy who underwent surgical treatment were divided into two groups: tubal resection group and salpingo-fenestration group, and follow-up observation was performed. Results The rates of re-pregnancy in the resection group and the fenestration group were 81 0% and 84 4%, respectively. The intrauterine pregnancy rates were 90 0% and 81 8%, respectively. The full-term delivery rates were 80 0% and 85 7%, respectively No significant (P> 0.05). The rates of re-ectopic pregnancy in the two groups were 100% and 182%, respectively, with significant difference (P <0.05). Conclusions The pregnancy rate after tubal fenestration is not significantly higher than that of one side tubal resection, but the chance of ectopic pregnancy is significantly higher again.