Objective:
To evaluate the severity of fallopian tubal conditions in patients with previous EP after methotrexate or laparoscopic conservative treatment using the
second-look laparoscopy (SLL).
Methods:
This was a retrospective clinical study in a university hospital. After reviewing medical records, thirty-eight women with EP were divided into group I
(methotrexate therapy) and II (laparoscopic salpingotomy) according to the conservative treatment options they previously received. Then, the secondlook
laparoscopy was carried out to evaluate the severity of the fallopian tubal conditions (including integrity, patency and adhesion).
Results:
The integrity and patency rates of the treated tubes in group I were 94.12% (16/17) and 52.94% (9/17), higher than those in group II (with 57.69% and
7.69%), respectively. But no difference was found in the adhesion rate of peri homolateral tubes between groups I (41.18%) and II (57.69%).
Conclusion:
Our results suggested that conservative medical treatment with MTX by SLL could protect the tubal conditions better than laparoscopic salpingotomy,
confirming that methotrexate treatment would be a very good way to preserve the tubes and improve future fertility. The second-look laparoscopy could
be recommended to the EP patients with a desire for pregnancy.
Author(s): Xiaoming Yu and Jing Guan