国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (1): 63-67.

• 综述 • 上一篇    下一篇

输卵管妊娠治疗方式及其对未来生育影响的研究进展

杨翠丽,张广美   

  1. 150001 哈尔滨医科大学附属第一医院妇产科
  • 收稿日期:2018-09-30 修回日期:2018-12-03 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 张广美,E-mail:guangmeizhang@126.com E-mail:guangmeizhang@126.com

Advances in the Treatment of Tubal Pregnancy and Its Influence on Future Fertility

YANG Cui-li,ZHANG Guang-mei   

  1. Department of Obstetrics and Gynecology,First Affiliated Hospital of Harbin Medical University,Harbin 150001,China
  • Received:2018-09-30 Revised:2018-12-03 Published:2019-01-15 Online:2019-01-15
  • Contact: ZHANG Guang-mei,E-mail:guangmeizhang@126.com E-mail:guangmeizhang@126.com

摘要: 输卵管妊娠是一种临床常见的妇科急腹症。输卵管妊娠如能在包块尚未破裂前早期诊断,其相关的病死率大大降低。输卵管妊娠的治疗方式有很多,无论哪种治疗方式,都会导致患者生育功能的下降。临床中对于有生育要求的患者,选择哪种治疗方式更好地保护患者的生育功能并减少并发症仍是有争议的话题。近年有学者做了大量研究比较输卵管妊娠不同治疗方式的并发症及其对患者未来生育前景的影响,甚至提出更新的治疗方式以弥补传统治疗方式的不足。现就输卵管妊娠的治疗方式、并发症及对未来生育的影响的研究进展进行综述。

关键词: 妊娠, 输卵管, 甲氨蝶呤, 腹腔镜, 输卵管造口术, 生育力

Abstract: Tubal pregnancy is a common gynecological acute abdomen. If tubal pregnancy can be diagnosed early before the rupture of tubal mass, the death rate associated with tubal pregnancy will be greatly reduced. There are many treatments for tubal pregnancy. However, any treatment could decline the fertility. For patients with fertility requirements, it is still controversial to choose a better treatment to protect the fertility function and to reduce complications. In recent years, scholars have done a large number of studies to compare the complications of different treatments for tubal pregnancy and their impact on the future fertility. The new treatments have been proposed to overcome the shortcomings of traditional treatments. In this paper, we review the research progress of the treatment of tubal pregnancy, complications and its effects on future fertility.

Key words: Pregnancy, Tubal, Methotrexate, Laparoscopes, Salpingostomy, Fertility

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