Langer R, Bukovsky I, Herman A, Sherman D, Sadovsky G, Caspi E
Fertil Steril. 1982 Oct;38(4):427-30. doi: 10.1016/s0015-0282(16)46576-3.
Fifty-seven conservative surgical procedures for unruptured tubal pregnancy were performed on 54 patients. Salpingotomy was performed in 44 cases and fimbrial expression of the ectopic gestation was performed in 13 cases. In this patient group, 80% of the patients (39 of 49) experienced intrauterine pregnancy following surgery and 71% (35 of 49) had a live birth. The recurrence rate of tubal pregnancy was 12%. Ninety percent of the patients with a normal contralateral tube had an intrauterine pregnancy following surgery and a 7% recurrence rate of tubal pregnancy, a ratio of 1:15. It is suggested that the indications for the conservative surgical management in patients with unruptured tubal pregnancy should be broadened to all patients interested in future pregnancies and should also be considered in those cases with normal contralateral tube.
对54例患者实施了57例未破裂输卵管妊娠的保守性手术。44例行输卵管切开术，13例行异位妊娠伞端挤压术。在该患者组中，80%（49例中的39例）的患者术后发生宫内妊娠，71%（49例中的35例）活产。输卵管妊娠复发率为12%。对侧输卵管正常的患者中，90%术后发生宫内妊娠，输卵管妊娠复发率为7%，比例为1:15。建议将未破裂输卵管妊娠患者保守性手术治疗的适应证扩大到所有希望未来妊娠的患者，对侧输卵管正常的病例也应考虑。
