DeCherney A H, Jones E E
Clin Obstet Gynecol. 1985 Jun;28(2):365-74. doi: 10.1097/00003081-198528020-00014.
The diagnosis of ectopic pregnancy has become precise and reliable. Consequently, the management of ectopic pregnancy has progressed to the point where the physician is often able to preserve fertility. Therefore, conservative surgery is indicated if the patient desires future fertility and conditions are appropriate. The combination of ultrasound, beta-hCG pregnancy testing, and laparoscopy has led to a rising incidence of diagnosed ectopic pregnancy prior to rupture. This has greatly facilitated the use of the conservative approach to the management of tubal pregnancy. Although ectopic pregnancy can be diagnosed early and managed conservatively, it is, and will remain a potentially life-threatening disease and must be approached as such. Table 3 summarizes our proposed surgical management of tubal pregnancy. Table 4 summarizes the results of conservative surgery for tubal pregnancy.
异位妊娠的诊断已变得精确且可靠。因此，异位妊娠的治疗已发展到医生常常能够保留生育能力的阶段。所以，如果患者期望未来生育且条件合适，就应采用保守手术。超声检查、β - 人绒毛膜促性腺激素妊娠试验和腹腔镜检查相结合，使得在输卵管破裂前诊断出的异位妊娠发生率有所上升。这极大地促进了采用保守方法治疗输卵管妊娠。尽管异位妊娠能够早期诊断并采用保守治疗，但它过去是、将来仍会是一种有潜在生命危险的疾病，必须如此看待。表3总结了我们提议的输卵管妊娠手术治疗方法。表4总结了输卵管妊娠保守手术的结果。
