Analysis of the influencing factors of the outcome of laparoscopic conservative surgery in patients with tubal pregnancy

中国综合临床 Pub Date : 2020-01-01 DOI:10.3760/CMA.J.ISSN.1008-6315.2020.01.003

N. Huang, Hongjie Li, Jingjing Zhang, Beibei Xie, Ya-Yun Cheng

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Abstract

Objective To investigate the influencing factors of fertility outcome after laparoscopic conservative surgery for tubal pregnancy. Methods From October 2010 to October 2016, 253 cases of tubal pregnancy treated by laparoscopic conservative surgery in General Hospital of Jizhong energy Fengfeng Group Hospital were analyzed retrospectively.All patients were followed up from 24 to 36 months after operation to observe the intrauterine pregnancy.Logistic regression was used to analyze the influencing factors of intrauterine pregnancy. Results After 24-36 months follow-up, the patients were not contraception and pregnant under the guidance of doctors.Among the 253 cases, 182 (71.1%) were intrauterine pregnancy, 37 (14.6%) were ectopic pregnancy, and 34 (13.4%) were not pregnant.The results of logistic regression showed that high level of hCG, severe pelvic adhesions, obstruction of fallopian tube and history of ectopic pregnancy were the risk factors of intrauterine pregnancy (OR (95%CI) 1.982 (1.075-3.149), 2.410 (1.279-5.069), 2.485 (1.071-3.594), 5.071 (1.094-9.081), P<0.05 or P<0.01). Conclusion The reproductive outcome of laparoscopic conservative surgery for tubal pregnancy is influenced by many factors.The high level of hCG in preoperative blood, severe pelvic adhesions, obstruction of tubal and ectopic pregnancy history are the risk factors of postoperative pregnancy. Key words: Tubal pregnancy; Laparoscopy; Conservative surgery; Intrauterine pregnancy; Risk factors

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输卵管妊娠患者腹腔镜保守手术疗效的影响因素分析

目的探讨输卵管妊娠腹腔镜保守手术后生育结局的影响因素。方法对2010年10月至2016年10月冀中能源丰丰集团医院总医院腹腔镜保守手术治疗输卵管妊娠的253例进行回顾性分析。术后24 ~ 36个月随访观察宫内妊娠情况。采用Logistic回归分析宫内妊娠的影响因素。结果随访24 ~ 36个月，患者均未避孕，在医生指导下顺利怀孕。253例中，宫内妊娠182例(71.1%)，异位妊娠37例(14.6%)，未妊娠34例(13.4%)。logistic回归分析结果显示，hCG水平高、盆腔严重粘连、输卵管梗阻、宫外孕史是宫内妊娠的危险因素(OR (95%CI) 1.982(1.075 ~ 3.149)、2.410(1.79% ~ 5.069)、2.485(1.071 ~ 3.594)、5.071 (1.094 ~ 9.081)，P<0.05或P<0.01)。结论输卵管妊娠腹腔镜保守手术的生殖结局受多种因素影响。术前血hCG水平高、盆腔粘连严重、输卵管梗阻、有异位妊娠史是术后妊娠的危险因素。关键词:输卵管妊娠;腹腔镜检查;保守手术;子宫内怀孕;风险因素

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来源期刊

中国综合临床

CiteScore

0.10

自引率

0.00%

发文量

16855

期刊介绍： Clinical Medicine of China is an academic journal organized by the Chinese Medical Association (CMA), which mainly publishes original research papers, reviews and commentaries in the field. Clinical Medicine of China is a source journal of Peking University (2000 and 2004 editions), a core journal of Chinese science and technology, an academic journal of RCCSE China Core (Extended Edition), and has been published in Chemical Abstracts of the United States (CA), Abstracts Journal of Russia (AJ), Chinese Core Journals (Selection) Database, Chinese Science and Technology Materials Directory, Wanfang Database, China Academic Journal Database, JST Japan Science and Technology Agency Database (Japanese) (2018) and other databases.