Langebrekke A, Sørnes T, Urnes A
Department of Gynecology and Obstetrics, Akershus Central Hospital, Nordbyhagen, Norway.
Acta Obstet Gynecol Scand. 1993 Oct;72(7):547-9. doi: 10.3109/00016349309058161.
In 150 women with tubal pregnancy consecutively treated over a two year period by laparoscopic techniques, 74 were treated conservatively by linear salpingotomy with carbon dioxide laser laparoscopy and 76 cases non-conservatively through the laparoscope by salpingectomy. Between 15 and 37 months later all patients were contacted by means of questionnaires to evaluate subsequent fertility outcome. Sixty-six percent (38/58) of those women who desired pregnancy after conservative laparoscopic treatment achieved an intrauterine pregnancy. The corresponding rate for women who desired pregnancy after salpingectomy was 45% (18/40). The recurrent ectopic pregnancy rates in the two groups were 7% (4/58) and 10% (4/40), respectively. This study confirms that tubal pregnancy can be appropriately managed by laparoscopic laser surgery with the advantages of minimal invasive techniques.
在两年期间采用腹腔镜技术连续治疗的150例输卵管妊娠患者中，74例采用二氧化碳激光腹腔镜下线性输卵管切开术进行保守治疗，76例通过腹腔镜行输卵管切除术进行非保守治疗。在15至37个月后，通过问卷调查联系所有患者，以评估后续生育结局。保守性腹腔镜治疗后希望怀孕的女性中，66%（38/58）成功实现宫内妊娠。输卵管切除术后希望怀孕的女性相应比例为45%（18/40）。两组的复发性异位妊娠率分别为7%（4/58）和10%（4/40）。本研究证实，输卵管妊娠可通过腹腔镜激光手术进行适当治疗，具有微创技术的优势。
