International Journal of Clinical Research

Objective To analyze the effects of different treatment regimens on the preserved fallopian tubes in tubal pregnancy. Methods A total of 100 patients with tubal pregnancy admitted to the Gynecology department of Kunming Maternal and Child Health Hospital from June 2022 to June 2023 were divided into 2 groups according to the difference in treatment methods. 50 cases in the control group were treated with drug conservative treatment, and 50 cases in the observation group were treated with laparoscopic conservative surgery. Uterine and fallopian tube iodography was performed at 3 months after reaching the therapeutic standard to evaluate the patency of fallopian tube. At the same time, the pregnancy outcome was recorded after 6 months of follow-up. Results The patency rate of the affected fallopian tube in the observation group was higher than that in the control group (P > 0.05). The natural intrauterine pregnancy rate of the observation group was higher than that of the control group, and the repeated ectopic pregnancy and infertility rate were lower than that of the control group (P < 0.05). Conclusions Laparoscopic conservative surgery can improve the patency of fallopian tube and increase the rate of natural intrauterine pregnancy compared with drug conservative treatment.

Conservative laparoscopic surgery; Drug conservative treatment; Tubal pregnancy; Natural intrauterine pregnancy; Tubal patency rate