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[异位妊娠]

[Ectopic pregnancy].

作者信息

Gummerus M, Saari-Kemppainen A

出版信息

Zentralbl Gynakol. 1986;108(2):112-7.

PMID:3953178
Abstract

In Finland there were 3 193 ectopic pregnancies registered during the years 1973-1976 (1,25% of the newborns) and 4 856 ectopic pregnancies (1,91%) during the years 1977-1980. Also in the State Maternity Hospital Helsinki the ectopic pregnancy rate rose from 0,8% to 1,4%. During the years 1977-1980 241 women were operated on. From 112 patients without postoperative contraception 48% gave birth, 33% remained infertile, 10% had a recurrent ectopic pregnancy and 9% had an abortion. The best results were achieved in the salpingectomy group. In cases of conservative operations expression was more favorable than salpingotomy. With the development of better diagnostic methods the possibility of conservative operations, partial resection of the tube, respectively, later followed by microsurgical anastomosis, will be increased.

摘要

1973年至1976年期间,芬兰登记了3193例异位妊娠(占新生儿的1.25%),1977年至1980年期间有4856例异位妊娠(占1.91%)。同样在赫尔辛基国立妇产医院,异位妊娠率从0.8%上升到了1.4%。1977年至1980年期间,有241名妇女接受了手术。在112名未采取术后避孕措施的患者中,48%分娩,33%仍未生育,10%再次发生异位妊娠,9%流产。输卵管切除术组取得了最佳效果。在保守手术的情况下,挤压术的效果比输卵管切开术更好。随着更好的诊断方法的发展,保守手术(即分别对输卵管进行部分切除,随后进行显微外科吻合)的可能性将会增加。

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