[Clinical application of tubal reconstruction after laparoscopic tubal pregnancy operation].

OBJECTIVE

To investigate the effectiveness of the tubal reconstruction after laparoscopic tubal pregnancy operation by comparing with simple laparoscopic tubal pregnancy operation.

METHODS

Between May 2007 and May 2010, 63 patients with tubal pregnancy underwent laparoscopic tubal pregnancy operation and tubal reconstruction in 30 cases (trial group) or simple laparoscopic tubal pregnancy operation in 33 cases (control group). There was no significant difference in age, pregnancy time, and position between 2 groups (P > 0.05). The tube patency test and hysterosalpingography (HSG) were carried out to evaluate the efficacy.

RESULTS

The operation was successfully completed in 29 cases of trial group; 1 case had too severe adhesion to receive re-anastomosis and was excluded. The tube patency test showed that the tube was patency in 26 cases of trial group and in 2 cases of control group during operation, showing significant difference (Z = 5.86, P = 0.00); it was patency in 25 cases of trial group and in 26 cases of control group at 1 month after operation, showing no significant difference (Z = 0.48, P = 0.63). HSG examination showed tube was patency in 25 cases of trial group and in 2 cases of control group at 2 months after operation, showing significant difference (Z = 5.35, P = 0.00). After 24 months, intrauterine pregnancy of trial group (n = 25, 86.20%) was significantly higher than that of control group (n = 19, 57.58%) (chi2 = 7.72, P = 0.01).

CONCLUSION

The reconstruction after laparoscopic tubal pregnancy operation can significantly increase the intrauterine pregnancy rate, and it is better than simple laparoscopic tubal pregnancy operation.