Makarenko M V, Govseev D O, Martynova L I, Tyan T V
Klin Khir. 2016(7):64-6.
The 128 patients were investigated for progressive and impaired tubal pregnancy (TP), the physiological course of pregnancy and the threat of miscarriage. When undisturbed TP and clear visualization of the fallopian tube and the fetal ovum it suggested conservative treatment with methotrexate. If an ectopic pregnancy during laparoscopy is recommended to perform organ preserving surgery, after which the frequency of occurrence of intrauterine pregnancy more than after extra corporeal impregnation. It confirmed the effectiveness of both laparoscopic and conservative treatment provided a correct assessment of the indications for each method.
对128例患者进行了进展性和受损输卵管妊娠（TP）、妊娠生理过程及流产风险的调查。当输卵管妊娠未受干扰且输卵管和孕囊清晰可见时，建议采用甲氨蝶呤进行保守治疗。如果在腹腔镜检查时发现异位妊娠，建议进行保留器官手术，术后宫内妊娠的发生率高于体外受精后。这证实了腹腔镜治疗和保守治疗的有效性，前提是对每种方法的适应症进行正确评估。
