Mecke H, Semm K, Lehmann-Willenbrock E
Department of Obstetrics and Gynecology, University of Kiel, F.R.G.
Int J Fertil. 1989 Mar-Apr;34(2):93-4, 97-100.
This study presents 202 cases of ectopic pregnancy treated by pelviscopy over 9 years, from 1978 to 1987. The tube was conserved in 177 patients, and a salpingectomy was performed in 25 cases. The former group includes 24 cases of tubal abortion. Longitudinal salpingectomy, to extract the products of conception, was performed in the remainder of cases (153), in 14 of which tubal rupture had already occurred. Postoperative bleeding demanded repeated pelviscopy in three cases, and laparotomy in two. Postoperative infection required salpingectomy in one case. One patient underwent laparotomy in another hospital, and in two cases, chorionic villi were found within a hematosalpinx at re-pelviscopy. The pregnancy rate in 74 patients desiring pregnancy was 57%. The recurrence rate of ectopic pregnancy in both the ipsi- and contralateral tube was 7%.
本研究呈现了1978年至1987年9年间通过盆腔镜检查治疗的202例异位妊娠病例。177例患者的输卵管得以保留，25例行输卵管切除术。前一组包括24例输卵管流产。其余病例（153例）进行了纵向输卵管切除术以取出妊娠产物，其中14例已发生输卵管破裂。3例术后出血需要再次盆腔镜检查，2例需要剖腹手术。1例术后感染需要行输卵管切除术。1例患者在另一家医院接受了剖腹手术，2例在再次盆腔镜检查时在输卵管积血内发现绒毛膜绒毛。74例有妊娠意愿的患者的妊娠率为57%。同侧和对侧输卵管异位妊娠的复发率均为7%。
