摘要
Objective To investigate whether laparoscopic surgery is valuable during early pregnancy and its influence on delivery outcome of the patients.Methods A retrospective analysis was undertaken of 14 heterotopic pregnancies conceived by IVF/ICSI-ET and underwent laparoscopic salpingectomy from December 2001 to September 2009.Results The mean age of 14 patients was 29 ± 5.3 years with range of 21-39 years.The ectopic pregnancy was located in the ampulla（11 patients,78.57%） and isthmus（3 patients,21.43%）.All 14 patients underwent successful laparoscopic salpingectomy without complications.Eleven（78.57%） patients delivered live singleton infants at full term via caesarean section while 3（21.43%） had spontaneous abortion.The birth weight of viable newborns ranged from 2 600 g to 3 720 g and had a high Apgar score.Conclusion During early pregnancy,the heterotopic pregnancy should be diagnosed and treated early and laparoscopic salpingectomy can be a safe and effective choice.The well experienced surgeons and accessibility of the modern equipments are mandatory.
Objective To investigate whether laparoscopic surgery is valuable during early pregnancy and its influence on delivery outcome of the patients.Methods A retrospective analysis was undertaken of 14 heterotopic pregnancies conceived by IVF/ICSI-ET and underwent laparoscopic salpingectomy from December 2001 to September 2009.Results The mean age of 14 patients was 29 ± 5.3 years with range of 21-39 years.The ectopic pregnancy was located in the ampulla（11 patients,78.57%） and isthmus（3 patients,21.43%）.All 14 patients underwent successful laparoscopic salpingectomy without complications.Eleven（78.57%） patients delivered live singleton infants at full term via caesarean section while 3（21.43%） had spontaneous abortion.The birth weight of viable newborns ranged from 2 600 g to 3 720 g and had a high Apgar score.Conclusion During early pregnancy,the heterotopic pregnancy should be diagnosed and treated early and laparoscopic salpingectomy can be a safe and effective choice.The well experienced surgeons and accessibility of the modern equipments are mandatory.
作者简介
Dr. Rumana JAFAREY; Tel： ＋86-15927629914; E-mail： doccr2003@yahoo.comCorresponding author： Dr. Jing YANG; Tel： ＋86-13507182023; E-mail： dryangqing@hotmail.com
