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[目的]探讨孕前盆腔腹腔镜干预(评估、必要时手术)在预防重复异位妊娠中的临床价值。[方法]回顾性分析126例输卵管妊娠妇女经腹腔镜手术治疗后的生育状况,按1/2配比将其分为观察组与对照组,两组患者均进行腹腔镜下异位妊娠清除术;观察组采用腹腔镜孕前盆腔干预(评估、必要时行粘连松解或和输卵管修复成形术),对照组术后仅行常规抗感染治疗。[结果]孕前采用腹腔镜盆腔干预的观察组,其重复异位妊娠率为7.1%,宫内妊娠率为64.3%,与对照组(21.4%、36.9%)相比差异均有统计学意义(P﹤O.05);观察组和对照组的不孕率分别为28.6%和41.7%(P﹥0.05)。[结论]首次异位妊娠的患者再次妊娠前,予腹腔镜盆腔干预有利于降低重复异位妊娠的发生率。
[Objective] To explore the clinical value of pelvic laparoscopic intervention before pregnancy (assessment, surgery if necessary) in the prevention of repeated ectopic pregnancy. [Methods] Reproductive status of 126 tubal pregnancy women after laparoscopic surgery was retrospectively analyzed. According to the ratio of 1/2, the patients were divided into observation group and control group. Laparoscopic ectopic pregnancy was performed in both groups ; The observation group was treated with laparoscopic pelvic intervention (assessment, if necessary, adhesion release or tubal repair angioplasty), and the control group was treated only with conventional anti-infective therapy. [Results] The rate of repeat ectopic pregnancy was 7.1% and that of intrauterine pregnancy was 64.3% in observation group with pelvic intervention before pregnancy, which was significantly different from that in control group (21.4%, 36.9%) (P < P <0.05). The infertility rates in observation group and control group were 28.6% and 41.7%, respectively (P> 0.05). [Conclusion] Laparoscopic pelvic intervention is beneficial to reduce the incidence of repeat ectopic pregnancy before the first pregnancy.