Bukovsky I, Langer R, Herman A, Caspi E
Obstet Gynecol. 1979 Jun;53(6):709-11.
Twenty-four conservative surgical procedures for unruptured tubal pregnancies were performed on 23 patients with poor past obstetric performance. All cases were diagnosed preoperatively by laparoscopy. Salpingotomy was performed in 20 cases and fimbrial expression of the ectopic pregnancy was performed in 4 cases. In the group of conservatively treated patients there were 15 live births in 11 women and 28 intrauterine pregnancies in 14 women. No ectopic pregnancies occurred in the operated tube. Early diagnosis and conservative surgical treatment of unruptured tubal pregnancy is appropriate for patients with poor reproductive histories.
对23例既往产科情况不佳的患者实施了24例未破裂输卵管妊娠的保守性外科手术。所有病例术前均经腹腔镜诊断。20例行输卵管切开术，4例行异位妊娠伞端挤压术。在保守治疗组中，11名女性中有15例活产，14名女性中有28例宫内妊娠。手术侧输卵管未再发生异位妊娠。对于有不良生育史的患者，未破裂输卵管妊娠的早期诊断和保守性外科治疗是合适的。
