Mecke H, Argiriou C Semm K
Abteilung Frauenheilkunde im Zentrum für Operative Medizin I, Christian-Albrechts-Universität zu Kiel.
Geburtshilfe Frauenheilkd. 1991 Jul;51(7):549-53. doi: 10.1055/s-2007-1026197.
From 1977-1989, 298 ectopic pregnancies were treated pelviscopically at the Dept. of Gynaecology Hospital of the University of Kiel. 26 tubes were already ruptured. In 251 patients (84%), organ preserving treatment was possible, 205 treatment by longitudinal salpingotomy. 46 tubal abortions were extracted. In 47 patients (16%), who did not wish to augment their family any further, or in whom recurrence of tubal pregnancy occurred on the same side, salpingectomy was performed. Complications required re-pelviscopy in 5% and laparotomy in another 1%. The intrauterine pregnancy rate in 143 patients desiring pregnancy was 58%. Abortions occurred in 8%. A recurrence of ectopic pregnancy in the ipsilateral tube occurred in 10%, in the contralateral tube in 6%. 9 patients desiring pregnancy had already undergone salpingectomy on the contralateral side or were treated pelviscopically by longitudinal salpingotomy because of ectopic pregnancy on both sides. Three of them gave birth to healthy infants.
1977年至1989年期间，基尔大学妇科医院对298例异位妊娠患者进行了腹腔镜手术治疗。其中26例输卵管已破裂。251例患者（84%）可行保留器官治疗，205例采用纵行输卵管切开术治疗。取出46例输卵管流产组织。47例患者（16%）因不再希望增加家庭成员或同侧输卵管再次发生妊娠而接受了输卵管切除术。5%的患者因并发症需要再次进行腹腔镜检查，另有1%的患者需要开腹手术。143例有妊娠意愿的患者中，宫内妊娠率为58%。流产率为8%。同侧输卵管异位妊娠复发率为10%，对侧输卵管为6%。9例有妊娠意愿的患者已接受对侧输卵管切除术，或因双侧异位妊娠接受了纵行输卵管切开术的腹腔镜治疗。其中3例生下了健康婴儿。
