CAJ | 학술논문

目的：探讨两种保守性治疗方法治疗输卵管妊娠后再次妊娠情况。方法回顾性分析2005-03～2008-03该院采用保守性治疗方法治疗的125例未生育输卵管妊娠患者的临床资料，根据治疗方法不同，分为腹腔镜下输卵管切开取胚加局部甲氨蝶呤（ MTX）注射65例（ A组）和药物保守治疗60例（ B组）。比较两组术后宫内妊娠、再次异位妊娠及继发不孕的情况。结果 A组宫内妊娠发生率高于B组（P＜0.05），继发不孕发生率低于B组（P＜0.05），而两组再次异位妊娠发生率比较差异无统计学意义（P＞0.05）。结论腹腔镜下输卵管切开取胚加局部MTX 注射治疗未生育输卵管妊娠患者优于药物保守治疗。
목적：탐토량충보수성치료방법치료수란관임신후재차임신정황。방법회고성분석2005-03～2008-03해원채용보수성치료방법치료적125례미생육수란관임신환자적림상자료，근거치료방법불동，분위복강경하수란관절개취배가국부갑안접령（ MTX）주사65례（ A조）화약물보수치료60례（ B조）。비교량조술후궁내임신、재차이위임신급계발불잉적정황。결과 A조궁내임신발생솔고우B조（P＜0.05），계발불잉발생솔저우B조（P＜0.05），이량조재차이위임신발생솔비교차이무통계학의의（P＞0.05）。결론복강경하수란관절개취배가국부MTX 주사치료미생육수란관임신환자우우약물보수치료。
Objective To discuss the re-pregnancy after the treatment of tubal pregnancy with two conserva-tive methods .Methods A retrospective analysis was conducted on clinical data of 125 nulliparous patients of tubal pregnancy treated with conservative methods in our hospital from March 2005 to March 2008 .According to different methods, they were divided into two groups , group A, including 65 patients with salpingotomy and embryo collection under laparoscope plus local MTX injection , and group B, including 60 patients with drug conservative treatment . Two groups were compared in postoperative uterine pregnancy , ectopic pregnancy again and secondary infertility .Re-sults The incidence of uterine pregnancy in group A was higher than that in group B ( P<0.05 ) and the incidence of secondry infertility in group A was lower than that in group B ( P<0.05 ) ,but there was no statistically significant difference in incidence of ectopic pregnancy again between two groups ( P>0.05 ) .Conclusion The treatment of nulliparous patients of tubal pregnancy with salpingotomy and embryo collection under laparoscope plus local MTX in -jection is better than drug conservative treatment .