Persistent Ectopic Pregnancy after Surgery for Tubal Pregnancy by Laparoscopic
Chen Weiming
Liang Lizhen
Li Liangkuan
Abstract：Objective To investigate the factors of persistent ectopic pregnancy(PEP) after surgery for tubal pregnancy by laparoscopic, and provide guideline for the clinical prevention and therapy.Methods 114 cases of tubal pregnancy by laparoscopic surgery were divided into 2 groups: 12 cases of PEP as the group A, 102 cases without PEP as the group B. The factors including β-HCG levels of pre and after surgery, time of menopause, the sites of ectopic pregnancy, patterns of surgery, conservative surgery with injection of MTX or not, and the size of the pelvic mass between the two groups were compared. Results The factors of higher rate of PEP were patients with higher β-HCG pre-surgery and limited decrease after operation, days of menopause less than 40 or more than 60, pregnancy in the isthmus, the compression surgery of pregnancy from the fimbriae tube, conservative surgery without injection of MTX. The PEP had no correlation with the size of pelvic mass. ConclusionThe preoperative data should be carefully analyzed for patients with ectopic pregnancy laparoscopic surgery. The appropriate surgical approach and delicate operation could reduce the rate of PEP.
Keywords：ectopic pregnancylaparoscopiccomplicationpersistent ectopic pregnancyfactor
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 57-58 )