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目的 对异位妊娠腹腔镜下输卵管成型术及术中通液的价值进行探讨。方法 选取有生育要求的未破裂型异位妊娠患者3 7例进行腹腔镜下输卵管成型及术中通液 ,并对其术后妊娠情况进行随访。结果 患侧输卵管术后复通率 62 .2 % ,宫内妊娠率为45 .9% ,对侧输卵管通畅率 64 .9% ,宫内妊娠率 5 8.3 % ,两者术后宫内妊娠率无明显差异 (P >0 .0 5 ) ;双侧输卵管通畅患者宫内妊娠率为 73 .3 % ,单侧通畅患者宫内妊娠率为 3 5 .3 %。双侧均通畅患者的宫内妊娠率高于单侧通畅的患者 (P <0 .0 5 )。患侧通畅而对侧不通患者与患侧不通而对侧通畅患者的宫内妊娠率无明显差异 (P >0 .0 5 )。结论 异位妊娠腹腔镜下输卵管成型术及术中通液能了解并改善输卵管的功能状态 ,提高术后宫内妊娠率。
Objective To evaluate the value of laparoscopic tubal surgery and intraoperative fluid delivery in ectopic pregnancy. Methods Twenty-seven cases of unruptured ectopic pregnancy with reproductive requirements were selected for laparoscopic tubal surgery and intraoperative fluid infusion. The postoperative pregnancy status was followed up. Results The ipsilateral tubal recurrence rate was 62.2%, intrauterine pregnancy rate was 45.9%, contralateral tubal patency rate was 64.9%, intrauterine pregnancy rate was 8.3%, the intrauterine pregnancy rate (P> 0.05). The intrauterine pregnancy rate in patients with bilateral tubal patency was 73.3%. The intrauterine pregnancy rate in patients with unilateral patency was 35.3%. Intrauterine pregnancy rates were significantly higher in patients with bilateral patency than those in patients with unilateral patency (P <0.05). There was no significant difference in intrauterine pregnancy rate between patients with contralateral patency and those with contralateral patency and those with contralateral patency (P> 0.05). Conclusion Laparoscopic tubal surgery and intraoperative fluid infusion in ectopic pregnancy can understand and improve the functional status of fallopian tubes and improve intrauterine pregnancy rate.