Comparison of reproductive capacity in women after three different procedures for tubal ectopic pregnancy

Abstract

Objective To explore the effect of three different procedures on reproductive capacity in young women with tubal ectopic pregnancy.Methods The clinical data on 274 patients with tubal ectopic pregnancy who had been treated from 2006 to 2011 were retrospectively analyzed.55 of the patients underwent abdominal salpingectomy ( resection group ),120 patients underwent laparotomic oviduct fenestration ( fenestration group ),and 99 patients received conservative therapy with MTX ( medication group ) All the patients were followed up for four years,Results The rate of intrauterine pregnancy was found in 180 ( 65.7％ ) patients,while recurrent ectopic pregnancy was found in 16 ( 5.8％ ),Intrauterine pregnancy occurred in 37 ( 67％ ) patients and recurrent ectopic pregnancy developed in one ( 2.2％ ) in resection group:intrauterine pregnancy occurred in 96 ( 80％ ) patients and recurrent ectopic pregnancy developed in two ( 2.2％ ); and intrauterine pregnancy occurred in 47 ( 47.4％ ) patients and recurrent ectopic pregnancy developed in 13 ( 13.1％ ).The rate of intrauterine pregnancy was higher and the rate of recurrent ectopic pregnancy was lower in resection group and fenestration group than in medication group.Conclusions Laparotomic oviduct fenestration has the best effect in preservation of fertility,followed by abdominal salpingectomy.Conservative therapy with MTX not noly has lower fertility,but also has a higher rate of recurrent ectopic pregnancy. Key words: Pregnancy; Tubal ectopic pregnancy; Medical therapy; Fertility