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The ESEP study: Salpingostomy versus salpingectomy for tubal ectopic pregnancy; The impact on future fertility: A randomised controlled trial

机译:ESEP研究:输卵管切开术与输卵管切除术治疗输卵管异位妊娠;对未来生育力的影响:一项随机对照试验

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摘要

BackgroundFor most tubal ectopic pregnancies (EP) surgery is the treatment of first choice. Whether surgical treatment should be performed conservatively (salpingostomy) or radically (salpingectomy) in women wishing to preserve their reproductive capacity, is subject to debate. Salpingostomy preserves the tube, but bears the risks of both persistent trophoblast and repeat ipsilateral tubal EP. Salpingectomy, avoids these risks, but leaves only one tube for reproductive capacity. This study aims to reveal the trade-off between both surgical options: whether the potential advantage of salpingostomy, i.e. a better fertility prognosis as compared to salpingectomy, outweighs the potential disadvantages, i.e. persistent trophoblast and an increased risk for a repeat EP.
机译:背景对于大多数输卵管异位妊娠(EP)手术是首选治疗方法。对于希望保留其生殖能力的女性,是否应保守治疗(开鼻吻合术)还是彻底治疗(输卵管切除术)尚有争议。输卵管造口术可以保留输卵管,但具有持续滋养层和重复同侧输卵管EP的风险。输卵管切除术避免了这些风险,但仅留出一根生殖管。这项研究旨在揭示两种手术选择之间的权衡:输卵管造口术的潜在优势(即与输卵管切除术相比具有更好的生育能力)是否克服了潜在的弊端,即持续的滋养层和再次发生EP的风险增加。

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