Reproductive outcome after multiple ectopic pregnancies.
Reproductive outcome after multiple ectopic pregnancies.
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多次宫外孕后的生殖结果。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
R. Punnonen
中科院分区：
文献类型：
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作者：
J. Uotila;Heinonen Pk;R. Punnonen
对 14 年（1972 年至 1985 年）期间在芬兰坦佩雷大学中心医院妇产科接受治疗的 76 名两次或两次以上宫外孕患者进行了回顾性分析。 57% 的重复输卵管妊娠患者和 41% 的单次输卵管妊娠对照患者最初接受了保守性输卵管手术。两次宫外孕后，53 名患者正在积极尝试怀孕。这些患者中，25% 成功分娩，40% 发生第三次宫外孕，35% 没有怀孕。输卵管切开术后同侧输卵管妊娠的发生率为 83%，伞毛清除后发生同侧输卵管妊娠的比例为 88%，输卵管切除术后同侧输卵管妊娠的发生率为 47%。 16例仅用一根输卵管发生宫外孕的患者进行了保守手术； 25% 的人足月分娩，25% 的人再次宫外孕，50% 的人没有怀孕。对 19 名 3 次输卵管妊娠患者的随访显示，16% 的患者顺利分娩，26% 的患者再次输卵管妊娠，58% 的患者没有怀孕。输卵管切除术后的生育结果与保守手术后的生育结果没有显着差异。
Seventy-six patients with two or more ectopic pregnancies treated at the Department of Obstetrics and Gynecology, University Central Hospital, Tampere, Finland over a period of 14 years (1972-1985) were retrospectively analyzed. Conservative tubal surgery had originally been performed in 57% of patients with a repeat tubal pregnancy, and in 41% of control patients with a single tubal pregnancy. After two ectopic pregnancies, 53 patients were actively trying to conceive. Of these patients, 25% achieved delivery, 40% had a third ectopic pregnancy, and 35% did not conceive. Ipsilateral tubal pregnancy occurred in 83% after salpingotomy, in 88% after fimbrial evacuation, and in 47% after tubal resection. Conservative surgery was performed in 16 patients with only one tube where an ectopic pregnancy occurred; 25% had a term delivery, 25% had a repeat ectopic pregnancy, and 50% did not conceive. Follow-up of 19 patients after three tubal pregnancies showed that 16% delivered, 26% had a repeat tubal pregnancy, and 58% did not conceive. There was no significant difference between fertility results after salpingectomy and those after conservative surgery.