Dinsmoor M, Gibson M
Obstet Gynecol. 1986 Dec;68(6):859-62.
On an infertility service, 170 patients were evaluated for possible ectopic pregnancy using tests for beta-human chorionic gonadotropin levels, ultrasound, and clinical examination. Thirty-four (20%) of those evaluated underwent laparoscopy, of whom 31 (91%) were found to have ectopic pregnancies. Only three of the ectopic pregnancies were ruptured; only two women had significant hemoperitoneum and only two required transfusion. Subsequent intrauterine pregnancy occurred in 5 of 11 patients who underwent salpingectomy (45%) and in 1 of 15 patients who underwent salpingotomy (7%). There were no subsequent pregnancies in five patients after expression of the ectopic from the tube. Early intervention in an infertile population decreases morbidity and may favor conservative tubal surgery, although our series could not confirm the benefits of such surgery.
在一项不孕症治疗服务中，对170名患者进行了评估，通过检测β-人绒毛膜促性腺激素水平、超声检查和临床检查来排查可能的异位妊娠。其中34名（20%）接受评估的患者接受了腹腔镜检查，其中31名（91%）被发现患有异位妊娠。只有3例异位妊娠发生破裂；只有2名女性有明显的腹腔内出血，只有2名需要输血。在接受输卵管切除术的11名患者中，有5名（45%）随后发生了宫内妊娠；在接受输卵管切开术的15名患者中，有1名（7%）随后发生了宫内妊娠。5名患者在将异位妊娠物从输卵管挤出后没有再次怀孕。对不孕症患者进行早期干预可降低发病率，并可能有利于进行保守性输卵管手术，尽管我们的系列研究无法证实此类手术的益处。
