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| The influence of laparoscopic salpingotomy and laparoscopic salpingectomy for tubal pregnancy on the next pregnancy |
| Maternity Hospital Affiliated to Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital)，Nanjing, Jiangsu Province, 210000 |
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Abstract Objective: To explore the influence of laparoscopic salpingotomy and laparoscopic salpingectomy for tubal pregnancy on the next pregnancy. Methods: The data of 110 patients with tubal ectopic pregnancy were analyzed retrospectively from January 2014 to January 2016, and 60 patients underwent laparoscopic salpingotomy were included in the observation group and 50 patients underwent laparoscopic salpingectomy were included in the control group. The operation time, intraoperative blood lost amount, the time of blood β-hCG recovered to normal level, the oviduct patency rate after operation, and the pregnant rate during 2 year followed up after operation were compared between the two groups. Results: The intraoperative bleeding amount of patients in the observation group was 29.9±8.7ml, which was no significant different from that (27.3±6.4 ml ) of patients in the control group (P>0.05). The operation time (54.3±7.9 min) and the time of β-hCG recovered to the normal level (32.6±3.7d) of patients in the observation group were significant longer than those (40.8±7.3min and 24.2±2.3d) of patients in the control group (P<0.05), the unobstructed rate of tubal of patients in the observation group was 18.3% and the repeat ectopic pregnancy rate of patients in the observation group was 15%, which were all significant higher than those of patients in the control group (P<0.05). The rate of normal pregnancy during 2 years followed up in the observation group was 63.3%, which had no significant different from that (54.0%) of patients in the control group (P>0.05). Conclusion: Compared with laparoscopic salpingectomy, laparoscopic salpingotomy can not significantly improve the rate of intrauterine pregnancy after operating.
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