Lang J H
Zhonghua Fu Chan Ke Za Zhi. 1989 Jul;24(4):206-8, 251.
The results of 10 cases of tubal pregnancy treated by conservative surgery from Jan. 1983 to May 1987 were presented. A linear incision on the pregnant tube was used for evacuation of tubal conceptus in 8 cases, in which the incision were reclosed in 3 and left unapproximated as a "open-window" in 5 cases. In the remaining two cases resection + reanastomosis or resection + implantation of the tube into the cornu was done in each. Hysterosalpingography (HSG) was perl formed after operation in 9 cases. Tubal patency was confirmed in 6. One case with only the diseased tube left became pregnant soon after operation before a HSG could be done. The postoperative pregnancy rate was 77.8% in 9 patients desirous of childbirth. There was no repeat ectopic pregnancy. The liberal use of laparoscopy, ultrasound and serum hCG testing for early diagnosis was emphasized.
本文介绍了1983年1月至1987年5月间采用保守手术治疗的10例输卵管妊娠的结果。8例采用在妊娠输卵管上做线性切口以清除输卵管内妊娠物，其中3例切口重新缝合，5例未缝合而形成“开窗”。其余2例分别进行了输卵管切除+端端吻合术或输卵管切除+输卵管植入子宫角部手术。9例术后进行了子宫输卵管造影（HSG）。6例证实输卵管通畅。1例仅保留患侧输卵管的患者在术后未进行HSG检查前很快就怀孕了。9例有生育愿望的患者术后妊娠率为77.8%。无重复异位妊娠发生。强调了腹腔镜、超声和血清人绒毛膜促性腺激素（hCG）检测在早期诊断中的广泛应用。
