| backgroundThere has been a steadily rise in the incidence of ectopic pregnancy (EP) over the past few decades. Its risk factors include previous tubal surgery, previous genital infection, previous miscarriage or induced abortion, as well as intrauterine device use, sexually transmitted disease, and so on. Although can be earlier diagnosed due to human chorionic gonadotrophin tracing and Transvaginal Ultrasound checking, It still remains an important cause of maternal morbidity and occasionally mortality. over 90% of EP are located in Fallopian tube. Currently, The management process of EP can be devided into surgical treatment and nonsurgical treatment. Laparoscopic management is popular, with less trauma, rapid recovery. There are two surgical style: salpingostomy and salpingectomy. How to choose the operation style and the rate of persistent ectopic pregnancy (PEP) remains unkown. Whether or not fertility following different disposal is similar is still a argument.Material and MethodsWe gathered 356 cases of tubal pregnancy that were admitted during 2000 and 2005 for a retrospective study .They were all managed by laparoscopy, received salpingotomy or salpingectomy.Result98% cases were successfully managed by laparocopy, in which, 242 cases received salpingectomy as where as 114 received conservatable operation. PEP rate was 9. 65%.ConclusionA laparoscopic approach of tubal pregnancy should be favoured. Preoperative β —HCG values appeared to be a important reference that was related to PEP present or does not. β —HCG values of 6000IU/L or more is a risk factor of PEP. If the β —HCG levels decrease less than 70%,the risk of PEP is elevated.
|
PDF Full Text Request