Parker J, Bisits A
Division of Obstetrics and Gynaecology, John Hunter Hospital, Newcastle, New South Wales.
Aust N Z J Obstet Gynaecol. 1997 Feb;37(1):115-7. doi: 10.1111/j.1479-828x.1997.tb02232.x.
There is a widespread belief that salpingostomy is the treatment of choice for ectopic pregnancy. The ability to treat most ectopic pregnancies via a laparoscopic approach has been a major advance in gynaecological surgery. Despite the well publicized benefits of laparoscopy over laparotomy only 50% of patients with ectopic pregnancies in Australia presently benefit from this surgical advance. Although it is clear that laparoscopic treatments are preferable to laparotomy there is no consensus on whether salpingectomy or salpingostomy should be performed, despite over 40 years of research since the introduction of conservative tubal treatment. A systematic review of laparoscopic surgical treatment is needed and could be incorporated into the Cochrane Collaboration. A prospective clinical study, with long-term follow-up, needs to be performed to evaluate fertility prognosis and complications after laparoscopic salpingectomy versus salpingostomy.
人们普遍认为输卵管造口术是异位妊娠的首选治疗方法。通过腹腔镜手术治疗大多数异位妊娠的能力是妇科手术的一项重大进展。尽管腹腔镜手术相对于开腹手术的诸多益处已广为人知，但目前在澳大利亚只有50%的异位妊娠患者受益于这一手术进展。虽然很明显腹腔镜治疗优于开腹手术，但自保守性输卵管治疗引入以来，尽管已有40多年的研究，但对于应进行输卵管切除术还是输卵管造口术尚无共识。需要对腹腔镜手术治疗进行系统评价，并可纳入Cochrane协作网。需要进行一项有长期随访的前瞻性临床研究，以评估腹腔镜输卵管切除术与输卵管造口术后的生育预后和并发症。
