Oelsner G, Morad J, Carp H, Mashiach S, Serr D M
Department of Obstetrics and Gynecology, Tel Aviv University, Sackler Faculty of Medicine, Sheba Medical Center, Tel Hashomer, Israel.
Br J Obstet Gynaecol. 1987 Nov;94(11):1078-83. doi: 10.1111/j.1471-0528.1987.tb02293.x.
Between 1981 and 1986, 58 women underwent conservative surgery for ectopic pregnancy; 30 had both tubes present, and 28 had the operation on their single tube. Twenty-five of the 30 women with both tubes present desired pregnancy; 17 (68%) conceived again, 14 (56%) had at least one intrauterine pregnancy and 3 (12%) had a repeat extrauterine pregnancy. Twenty-six of the women with a solitary tube desired pregnancy, 12 (46%) of them had at least one intrauterine pregnancy, and 10 (38.5%) had a repeat extrauterine pregnancy. It was concluded that the incidence of intrauterine pregnancy after conservative surgery in patients with both tubes present is not lower than after radical surgery, and that the incidence of extrauterine pregnancy is not higher. The intrauterine pregnancy rate in patients with a solitary tube is high and still higher than the best results available with in-vitro fertilization and embryo transfer. Therefore conservative surgery is indicated in these patients despite the high incidence of repeat extrauterine pregnancy. Since most of the patients who conceived did so during the first year following the operation, we recommend that patients try to conceive immediately.
1981年至1986年间，58名女性接受了宫外孕保守手术；30名双侧输卵管均存在，28名仅对单根输卵管进行了手术。30名双侧输卵管均存在的女性中有25名渴望怀孕；17名（68%）再次受孕，14名（56%）至少有一次宫内妊娠，3名（12%）再次发生宫外孕。26名单侧输卵管的女性渴望怀孕，其中12名（46%）至少有一次宫内妊娠，10名（38.5%）再次发生宫外孕。结论是，双侧输卵管患者保守手术后的宫内妊娠发生率不低于根治性手术后，宫外孕发生率也不高于根治性手术后。单侧输卵管患者的宫内妊娠率较高，且仍高于体外受精和胚胎移植的最佳结果。因此，尽管再次宫外孕的发生率较高，但这些患者仍应进行保守手术。由于大多数受孕患者是在手术后的第一年受孕的，我们建议患者尽快尝试受孕。
