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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >A comparative case-controlled study of laparoscopic vs laparotomy management of ectopic pregnancy: an evaluation of reproductive performance after radical vs conservative treatment of tubal ectopic pregnancy.
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A comparative case-controlled study of laparoscopic vs laparotomy management of ectopic pregnancy: an evaluation of reproductive performance after radical vs conservative treatment of tubal ectopic pregnancy.

机译：腹腔镜与剖腹手术治疗异位妊娠的比较病例对照研究：根治性与保守治疗输卵管异位妊娠后的生殖性能评估。

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摘要

Ectopic pregnancy is the most common cause of maternal death in early pregnancy (RCOG 1997-1999) and its incidence is rising. Most of the ectopic pregnancies occur in the young age group and subsequent fertility is an important issue. Laparoscopic surgery has advantages over open surgery and results in higher rates of subsequent intrauterine pregnancies and a lower rate of ectopic pregnancy (Fernandez, 1998). There is no consensus in the literature regarding conservative versus radical treatment of tubal pregnancy in terms of future reproductive performance (Hajenius, 2000). There are no randomised controlled trials of sufficient power, and meta-analysis of studies has shown different results with different investigators (Yao, 1997; Clausen, 1996). Most of the studies have shown higher intrauterine pregnancy (IUP) rates after salpingotomy (2-23% higher IUP rates) than after salpingectomy. We carried out this study in the East Birmingham Hospitals (Teaching) NHS Trust, West Midlands UK, to contribute tothe ongoing debate.
机译：异位妊娠是孕早期孕产妇死亡的最常见原因（RCOG 1997-1999），其发病率正在上升。大多数异位妊娠发生在年轻年龄组，随后的生育能力是一个重要问题。与开放手术相比，腹腔镜手术具有优势，并导致随后的宫内妊娠率更高和异位妊娠率更低（Fernandez，1998）。关于输卵管妊娠的保守治疗与根治性治疗之间在未来生殖性能方面的文献尚无共识（Hajenius，2000）。没有足够有力的随机对照试验，研究的荟萃分析显示不同研究者的结果不同（Yao，1997; Clausen，1996）。大多数研究表明，输卵管切开术后子宫内妊娠（IUP）的发生率高于输卵管切除术后的宫内妊娠（IUP发生率高2-23％）。我们在英国西米德兰兹郡东伯明翰医院（教学）NHS信托基金中进行了这项研究，为正在进行的辩论做出了贡献。

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