Vancaillie T G
University of Texas Health Science Center, Department of Obstetrics and Gynecology, San Antonio.
Obstet Gynecol Clin North Am. 1991 Mar;18(1):111-22.
Salpingectomy remains the standard surgical treatment of ectopic pregnancy. The mode of access--laparotomy versus laparoscopy--should not influence the choice of treatment. The determining factors in the choice of surgical treatment of tubal pregnancy are the patient's vital signs, desire for future fertility, age, previous history of infertility and tubal status, and the availability of and accessibility to assisted reproductive technology. The technique of salpingectomy consists of complete removal of the fallopian tube, including the proximal isthmus but not the interstitial portion. Care must be taken not to damage the vascular supply of the ovary.
输卵管切除术仍然是异位妊娠的标准外科治疗方法。手术入路方式（剖腹手术与腹腔镜手术）不应影响治疗选择。输卵管妊娠手术治疗选择的决定性因素包括患者的生命体征、对未来生育的渴望、年龄、既往不孕和输卵管状况病史，以及辅助生殖技术的可获得性和可及性。输卵管切除术技术包括完全切除输卵管，包括近端峡部但不包括间质部。必须小心避免损伤卵巢的血管供应。
