[Fertility after laparoscopic treatment of ectopic pregnancy in a series of 138 patients]. / Fertilité après traitement chirurgical d'une grossesse extra-utérine.
J Gynecol Obstet Biol Reprod (Paris)
; 30(3): 265-71, 2001 May.
Article
em Fr
| MEDLINE
| ID: mdl-11398003
ABSTRACT
OBJECTIVE:
To evaluate fertility after laparoscopic treatment of ectopic pregnancy (EP). To investigate factors influencing fertility and EP recurrence. PATIENTS ANDMETHODS:
Retrospective study of a series of 138 patients. Rate of intra uterine pregnancy, live births and recurrent EP were the main outcome measures. Subsequent fertility was assessed by calculating cumulative intrauterine pregnancy rates and were analyzed by log-rank tests and Cox regression.RESULTS:
The multivariate analysis showed a better rate of intra uterine pregnancy in patients with normal controlateral tube and in women younger than 30. The average time before conception was 11.5 months. After 18 months of infertility the intra-uterine pregnancy rate was low but the EP recurrence rate increased after 24 months. In this study there was no difference between radical and conservative surgery treatment.CONCLUSION:
Laparoscopy is useful in the management of ectopic pregnancy, especially in order to establish a prognosis for fertility.
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Base de dados:
MEDLINE
Assunto principal:
Gravidez Ectópica
/
Fertilidade
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Fr
Ano de publicação:
2001
Tipo de documento:
Article