输卵管妊娠保守治疗后输卵管通畅情况的临床分析

目的探讨应用子宫输卵管碘油造影评价输卵管妊娠保守治疗后的通畅情况。方法回顾性分析116例输卵管妊娠保守治疗的病例资料，其中A组腹腔镜保守性手术40例，B组开腹保守性手术36例；C组药物保守治疗40例。术后3月～6月输卵管碘油造影评价输卵管通畅情况。结果A、B、C组住院时间、治愈率、患侧输卵管通畅率有显著差异（P〈0．05）。结论输卵管妊娠手术保守治疗效果较药物保守治疗好；尤其是腹腔镜保守性手术，创伤小、恢复快、住院时间短，应作为输卵管妊娠首选的保守治疗方法。

The Clinical analysis of fallopian tubal patency after the conservative treatment of tubal pregnancy

Objective：To discuss the application of Hysterosalpingography in patency after conservative treatment. Methods： Clinical datas of 116 patients ceived the conservative treatment were analyzed retrospectively, among them, received the laparoscopic conservative surgery, 36 patients in group B were evaluation of tallopian tubal of tubal pregnancy whom re- 40 patients in group A were received laparotomy conserva- tire surgery, and 40 patients in group C were received conservative medical treatment. And the patients＂ tubal patency was evaluated by hysterosalpingography in three months to six months after operation. Re- suits： There were significant difference in the hospital stay, the curative rate, the ipsilateral tubal patency rate among these three groups （P〈 0.05）. Conclusion： Compared with conservative drug treatment, conser- vative surgical treatment was proved to be more effective. In particular, laparoscopic surgery featured small trauma, quick recovery and short hospital stay should be regarded as the preferred method.