Analysis of outcomes of fertility restoration surgery in women with infertility secondary to tubal pregnancy: a series of 77 cases

作者：Hu C^*; Chen Z; Chen Y; Hou H; Chen X; Cao Z; Shi H

来源：Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 195-199.

DOI：10.12891/ceog3274.2017

• Infertility
• Tubal pregnancy
• Salpingectomy
• Laparoscopy
• Laparotomy
• Hysteroscopic tubal catheterization

Purpose: To assess pregnancy outcomes after minimally-invasive fertility restoration surgery in women with infertility secondary to tubal pregnancy treated with salpingectomy. Materials and Methods: The study included 77 women diagnosed with infertility after salpingectomy for tubal pregnancy between December 2008 and October 2010 for intraoperative assessment and treatment of tubal and pelvic adhesions. The mean age of the patients was 31.12 +/- 3.58 years and their duration of infertility was 3.91 +/- 2.80 years. Chi- square test, Student's t-test, rank-sum test, and Kaplan-Meier test was used. Ap-value < 0.05 was considered significant. Results: Tubal function was restored in 68.8% of women, 33.77% experienced intrauterine conception, 32.47% had a live birth, 5.19% had an ectopic pregnancy, and 1.30% had a spontaneous abortion within the three-year follow up period. Conclusions: Minimally-invasive fertility restoration surgery after tubal pregnancy treated with salpingectomy restored tubal function in the contralateral fallopian tube in the majority of women.

• 出版日期2017
• 单位中国人民武装警察部队学院