Dubuisson J B, Aubriot F X, Vacher-Lavenu M C, Henrion R
Rev Fr Gynecol Obstet. 1986 Jan;81(1):9-10, 13-4.
141 patients affected by tubal pregnancy have been treated by total salpingectomy at the Port-Royal university clinic between the 1st January 1977 and the 31st January 1984. Tubal pregnancy occurred in the majority of cases in a pathological Fallopian tube, of which the histological state was unrelated to the clinical observations made at laparotomy. Ampullary pregnancy (88% of cases) is secondary to a pathological ampulla in 94 p. cent of cases. The latter was chronic salpingitis in 92 p. cent of cases. Isthmic pregnancy (12% of cases) appears to us to be secondary to isthmic pathology in all cases, and is generally associated with ampullary lesions. There also chronic salpingitis preponderates, whilst endometriosis is very rare. The great frequency of pre-existing lesions which we have noted explains perfectly the high level of recurrences in situ observed after conservative surgery of the gravid tube.
1977年1月1日至1984年1月31日期间，在皇家大学诊所，141例输卵管妊娠患者接受了输卵管全切术治疗。大多数情况下，输卵管妊娠发生在病理性输卵管中，其组织学状态与剖腹手术时的临床观察结果无关。壶腹部妊娠（88%的病例）在94%的情况下继发于病理性壶腹部。在92%的病例中，后者为慢性输卵管炎。峡部妊娠（12%的病例）在我们看来在所有病例中均继发于峡部病变，并且通常与壶腹部病变相关。同样以慢性输卵管炎为主，而异位症非常罕见。我们所注意到的既往病变的高发生率完美地解释了妊娠输卵管保守手术后原位复发的高水平。
