Clinical and pathological evaluation of conservative surgery for tubal pregnancy
10.3969/j.issn.1671-8348.2014.26.003
- VernacularTitle:输卵管妊娠保守性手术的临床和病理评价
- Author:
Qian XIE
;
Wenmeng LUO
;
Ling LING
;
Qin YIN
;
Yu ZHANG
- Publication Type:Journal Article
- Keywords:
conservative surgery;
pregnancy,tubal;
length of stay;
chorionic gonadotropin;
treatment outcome;
follow-up studies
- From:
Chongqing Medicine
2014;(26):3416-3417,3421
- CountryChina
- Language:Chinese
-
Abstract:
Objective To conduct the clinical and pathological evaluation on the conservative surgery in tubal pregnancy . Methods 513 cases of tubal pregnancy in this hospital from January 2006 to December 2012 were divide into the conservative sur-gery group(A ,314 cases) ,samlpintectomy group(B ,43 cases) and the medication conservative treatment group (C ,156 cases) .The hospitalization days ,HCG negative-conversion time ,cure rate ,re-pregnancy outcome ,pregnancy during 1-year follow-up were com-pared between the group A and C .In group B ,43 cases of tubal pregnancy and accomplishing fertility were firstly performed the tubal linear incision in the pregnant site ,then the biopsy was conducted after stopping bleeding and finally the salpingectomy in af-fected side was performed .The tubal electric injury degree by the unipolar or bipolar electrocoagulation and the pathological changes under light microscope were observed .Results The hospitalization days ,symptom relief rate ,HCG negative-conversion time ,cure rate and re-pregnancy outcome had statistical differences between the group A and C (P<0 .05) .Conclusion The tubal conserva-tive surgery has short hospitalization time ,high symptom relief rate ,high cure rate and few complications .The pathological observa-tion shows the localized electrocoagulation injury .The pregnancy rate after surgery is high .
