【摘要】 目的分析引起输卵管妊娠手术治疗后不同生殖状况的相关因素,探讨改善生殖状况,提高宫内妊娠率的方法。方法对自1999-01-2003-12在中山大学附属第一医院等两家医院的424例输卵管妊娠患者经腹腔镜或剖腹手术治疗后患者生殖状况及其相关影响因素进行多重Logistic回归分析及χ2分析,找出引起术后不孕及重复性异位妊娠的原因。结果424例患者术后宫内妊娠177例,占41·7%;出现重复性异位妊娠102例,占24·1%;有145例患者术后仍然未孕,占34·2%。多重Logistic回归分析提示,盆腔炎、不孕、异位妊娠、输卵管手术、输卵管粘连、输卵管伞端闭锁是输卵管妊娠术后不孕及重复性异位妊娠的危险因素。结论积极预防盆腔病变,治疗不孕症是改善输卵管妊娠术后生殖状况的重要手段。更多还原

【Abstract】 Objective To analyse the relative factors that influence the reproductive outcome after surgical management of ectopic pregnancy and to investigate the methods which improve the reproductive outcome after surgical treatment of ectopic pregnancy. Methods Multiple logistic regression analysis and χ~2 analysis were used to analyse the reproductive outcome and its relative influence factors in 424 women with tubal pregnancy managed with laparotomy and laparoscopy from Jan.1999 to Dec,2003 in the First Affiliated Hospital of Sun Yat-sen University. Results Of the 424 women with tubal pregnancy, 177 (41.7%)had a intrauterine pregnancy, 102(24.1%) had a recurrent tube pregnancy,and 145(34.2%) have infertility. Pelvic infection, infertility, ectopic pregnancy, tube surgery, adhesion and distal occlusion of fallopian tube were the risk factors related to infertility and recurrent tube pregnancy. Conclusion Aggressive management of infertility and prevention of pelvic infection and adhesion are importment strategy to improve the reproductive outcome of women after surgical treatment of tubal pregnancy.更多还原