Analysis of the influencing factors of the outcome of laparoscopic conservative surgery in patients with tubal pregnancy
10.3760/cma.j.issn.1008-6315.2020.01.003
- VernacularTitle: 腹腔镜保守手术治疗输卵管妊娠患者术后生育结局的影响因素
- Author:
Nannan HUANG
1
;
Hongjie LI
;
Jingjing ZHANG
;
Beibei XIE
;
Yanfang CHENG
;
Haizhen AN
Author Information
1. Department of Gynecology, General Hospital of Jizhong energy Fengfeng Group Hospital, Handan 056200, China
- Publication Type:Journal Article
- Keywords:
Tubal pregnancy;
Laparoscopy;
Conservative surgery;
Intrauterine pregnancy;
Risk factors
- From:Clinical Medicine of China
2020;36(1):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influencing factors of fertility outcome after laparoscopic conservative surgery for tubal pregnancy.
Methods:From October 2010 to October 2016, 253 cases of tubal pregnancy treated by laparoscopic conservative surgery in General Hospital of Jizhong energy Fengfeng Group Hospital were analyzed retrospectively.All patients were followed up from 24 to 36 months after operation to observe the intrauterine pregnancy.Logistic regression was used to analyze the influencing factors of intrauterine pregnancy.
Results:After 24-36 months follow-up, the patients were not contraception and pregnant under the guidance of doctors.Among the 253 cases, 182 (71.1%) were intrauterine pregnancy, 37 (14.6%) were ectopic pregnancy, and 34 (13.4%) were not pregnant.The results of logistic regression showed that high level of hCG, severe pelvic adhesions, obstruction of fallopian tube and history of ectopic pregnancy were the risk factors of intrauterine pregnancy (OR (95%CI) 1.982 (1.075-3.149), 2.410 (1.279-5.069), 2.485 (1.071-3.594), 5.071 (1.094-9.081), P<0.05 or P<0.01).
Conclusion:The reproductive outcome of laparoscopic conservative surgery for tubal pregnancy is influenced by many factors.The high level of hCG in preoperative blood, severe pelvic adhesions, obstruction of tubal and ectopic pregnancy history are the risk factors of postoperative pregnancy.
