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几个世纪以来,宫外孕的自然过程并无变化,然而在临床处理上却发生了戏剧(?)改变。早在1876年,应用手术治疗前,Pany和Lea报道宫外孕死亡率为69％,当Tait首次施行输卵管切除术时,他获得了重大突破,使宫外孕死亡率显著下降。输卵管切除术成了官外孕的经典治疗方法,当今仍被常规应用。 1953年Stromme首先描述一例没有施行输卵管切除术而清除妊娠的手术过程。昔日这种保守性手术未能被广泛应
For centuries there has been no change in the natural course of ectopic pregnancy, yet there has been a dramatic (?) Change in clinical management. As early as 1876, Pany and Lea reported an eutopic pregnancy mortality rate of 69% prior to surgical treatment. When Tait first performed a salpingectomy, he achieved a major breakthrough that led to a significant reduction in eutopic pregnancy mortality. Tubal excision has become the classical treatment of extra-ordinary pregnancy, is still routinely used today. Stromme first described in 1953 an example of a surgical procedure that resulted in the removal of a pregnancy without tubal resection. In the past this conservative surgery failed to be widely used