周白云
ZHOU Bai-yun (Department of Obstetrics and Gynecology, The First People’s Hospital of Qianxinan District, Xingyi, Guizhou 562400, China)

• 1:黔西南州人民医院妇产科 贵州兴义562400

摘要(Abstract)：

目的:探讨输卵管妊娠保守手术后子宫输卵管造影(HSG)对再次妊娠预测的临床价值。方法:选取 有生育要求的异位妊娠妇女67例在腹腔镜下行输卵管切开取胚或成型术,术后进行HSG,对不同HSG情况的术 后妊娠率进行分析。结果:输卵管妊娠腹腔镜下保守手术后宫内妊娠率为46.3%,双侧输卵管通畅者宫内妊娠率 为66.7%,一侧输卵管通畅者宫内妊娠率为45.5%,二者相比差异无显著性(P>0.05)。而一侧或双侧通畅者宫 内妊娠率为57.7%,明显高于双侧不通者(P<0.05)。结论:输卵管妊娠保守性手术后输卵管的功能取决于其通 畅情况,术后行HSG能有效判断输卵管的通畅情况,预测宫内妊娠几率,为指导受孕方式提供重要信息。
Objective: To evaluate the clinical significance of hysterosalpingography (HSG) for predict subsequent intrauterine pregnancy (IUP) after conservative surgery for fallopian tube pregnancy. Methods: To 67 cases of fallopian tube pregnancy the conservative surgery were performed, that composed of cut, fenestration and salpingoplasty on pregnancy position in the tube. HSG were carried out to all the patients in 3months after the operation. Results: The general rate of subsequent IUP were 46.3%,and the rate of subsequent IUP of those that both side tubes were unobstructed was 66.7%, and that of those with one side tube unobstructed was 45.5%.The pregnancy rate in two groups did not differ significantly (P >0.05). The rate of subsequent IUP of those with one side tube unobstructed was significantly higher than those with both sides obstructed (P<0.05). Conclusions: The function of fallopian tube after conservative treatments under laparoscopy depends on the unobstructed condition of the tube. HSG can help with estimating this condition and afford a lot of useful information for preg nancy.

关键词(KeyWords)： 妊娠,输卵管;腹腔镜;子宫输卵管造影术;妊娠率
pregnancy,tubal; laparoscopes; hysterosalpingography; pregnancy rate

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 周白云
ZHOU Bai-yun (Department of Obstetrics and Gynecology, The First People’s Hospital of Qianxinan District, Xingyi, Guizhou 562400, China)

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DOI: 10.19367/j.cnki.1000-2707.2005.01.014

参考文献(References)：

• [1]胡娅莉.异位妊娠[M].见:丰有吉.妇产科学[M].北京:人民卫生出版社,2002.61.
• [2]PisarkaMD,CarsonSA,BusterJE.Ectopicpregnancy[J].Lancet,1998,351(12):1115-1121.
• [3]曹泽毅.中华妇产科学[M].北京:人民卫生出版社,1999.2324-2325.
• [4]LimorHelpman,IgalWolman.Hysterosalpingocontrast sonographyfortheevalutionofthetubalfactorininfertil ityinvestigation:reviewofliterature[J].ReviewsinGynaecologicalPractics,2003,(3):171-176.
• [5]石荣书,章小波,杨彪,等.子宫输卵管造影对输卵管阻塞性不孕症诊断价值的再探讨[J].实用放射学杂志, 2003,19(9):828-830.

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