Analysis report for the relevant factors of the salpingocyesis conservative surgery and the persistent ectopic pregnancy

[Objective] To discuss the relevant factors and precaution about the persistent ectopic pregnancy (PEP) which occurs after the celioscope conservative surgery of oviduct pregnancy. [Methods] Reviewed and analyzed the clinic data of 556 patients who accepted the conservative surgery of oviduct pregnancy in our hospital from Jan. 2000 to Dec. 2004. Thereinto, 326 cases were celioscope conservative surgery 240 cases were traditions surgery. [Results] The PEP possibility of the celioscope group was 2.76%, and the conventional group was 2.50%. There is no significant difference between these two groups. The occurrence of PEP is relative to the pregnancy age, the dosage of serum β-HCG before surgery, the skill of operator and the preventative application of MTX after surgery. [Conclusions] The celioscope conservational surgery is safe and effective to the oviduct pregnancy. Strictly controlling the surgery complications, improving the surgery skill, rigorously examining the change of serum β-HCG after surgery and the preventative using of MTX are critical to reduce the surgery complications, especially PEP.