Objective: To observe and analyze the efficacy of laparoscopic fenestration and embryo-taken surgery on fertility preservation in patients with tubal pregnancy.Methods: By retrospective analysis.150 patients receiving laparoscopic fenestration and embryo-taken surgery were assigned to observation group, and the same number of patients with tubal pregnancey receiving laparotomy were assigned randomly to control group.The operation and fallopian tube recanalization between groups were compared.Results: In observation group, pelvic adhension occurred in 38 cases (36.2％), and con-tralateral tube umbrella ostomy was performed in 7 cases (6.7％).All patients in observation group were preserved successfully their fallopian tube.At 1 month after surgery, fallopian tube was passable completely in 90 cases (85.7％) by test of liquid instillation, and passable partly in 15 cases (14.3％) that was passable completely at 6 months after surgery.6 cases had unplanned pregnancy, during 6 months follow-up, all of them had intrauterine pregnancy.Conclusion: Laparoscopic fenestration and embryo-taken surgery in patients with tubal pregnancy shows benefits in fertility preservation, and characterized by minimum damage, safety, being easy to be performed, and less complications.%目的:探讨腹腔镜下输卵管妊娠保留生育功能--开窗取胚术式的疗效.方法:回顾性分析输卵管妊娠保留生育功能腹腔镜下行开窗取胚术手术治疗105例(观察组),随机选择我院同期行开腹术治疗输卵管妊娠的患者105例作为对照组,比较两组手术情况及输卵管再通情况.结果:105例输卵管妊娠中,盆腔粘连38例(36.2%),对侧输卵管伞端造口术7例(6.7%).本组患者全部保留输卵管取得成功.术后1个月输卵管通液术90例(85.7%)通畅,15例(14.3%)通而不畅,术后6个月均通畅,随访6个月,6例发生计划外怀孕,均为宫内妊娠.结论:腹腔镜手术治疗输卵管妊娠保留生育功能效果确切,且微创、安全、方便快捷,术后并发症少、恢复快.
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