Paavonen J, Varjonen-Toivonen M, Komulainen M, Heinonen P K
Int J Gynaecol Obstet. 1985 Apr;23(2):129-33. doi: 10.1016/0020-7292(85)90057-8.
We analysed 188 ectopic pregnancies seen during a 2-year period. They represented 2.2% of the live births that occurred during the same time interval. Overall, 53% of the tubal pregnancies had ruptured at the time of examination. Location was ampullary in 51% of the cases, isthmic in 28%, and 10% had aborted. Sixty-nine (38%) patients had an IUD. Diagnostic sensitivity was 58%-93% for pregnancy tests, 79% for culdocentesis, 41% for ultrasound examination, 43% for dilatation and curettage, and 100% for laparoscopy. Salpingectomy was performed in 47% of the cases, salpingotomy in 27%, and tubal resection in 19%. During a follow-up of 116 women (mean 1.5 years, range 0.5-3 years) 49% delivered, 10% had repeat ectopic pregnancy, 10% had abortion, 17% were infertile and 15% practised birth control. Among those who delivered no difference was found between those who underwent salpingectomy and those who underwent conservative surgery.
我们分析了在两年期间所见到的188例异位妊娠病例。这些病例占同一时间段内活产数的2.2%。总体而言，53%的输卵管妊娠在检查时已破裂。其位置在壶腹部的占51%，峡部的占28%，10%已流产。69例（38%）患者放置了宫内节育器。妊娠试验的诊断敏感性为58% - 93%，后穹窿穿刺为79%，超声检查为41%，刮宫术为43%，腹腔镜检查为100%。47%的病例进行了输卵管切除术，27%进行了输卵管切开术，19%进行了输卵管切除。在对116名妇女进行随访（平均1.5年，范围0.5 - 3年）期间，49%的妇女分娩，10%再次发生异位妊娠，10%流产，17%不孕，15%采取避孕措施。在分娩的妇女中，接受输卵管切除术的和接受保守手术的之间未发现差异。
