宫腔镜联合B超诊治早期宫角妊娠

Hysteroscopy combined with B-ultrasonography in the diagnosis and treatment of early cornual pregnancy

目的探讨宫腔镜联合B超诊治早期(孕7周以内)宫角妊娠的价值。方法对1999年1月～2004年12月宫腔镜联合B超诊治28例早期宫角妊娠的临床资料进行回顾性分析。结果27例手术一次成功,1例二次刮宫后仍有残留组织,宫腔镜下定位注射氨甲蝶呤(MTX)50mg,2周后血β-HCG浓度下降至正常范围。无术中、术后并发症。28例随访4～36个月,平均20个月,11例有生育要求者中6例已妊娠分娩。结论宫腔镜与B超联合应用为诊治早期宫角妊娠提供了一种安全、有效、微创的方法,值得临床推广。

Objective To investigate the value of hysteroscopy combined with B-ultrasonography in the diagnosis and treatmeant of early cornual pregnancy (within 7 weeks of pregnancy). Methods A total of 28 cases of early cornual pregnancy diagnosed and treated by hysteroscopy combined with B-ultrasonography from January 1999 to December 2004 were analyzed retrospectively. Results The operation were carried out successfully on one session in 27 cases, while placental remnants were found after the second curettage in 1 case, in which after an injection of methotrexate was given under hysteroscope, the serum β-HCG decreased to a normal level 2 week later. No intra- or post-operative complications were recorded. Follow-up observations for 4~36 months (mean, 20 months) in the 28 cases found 6 cases of pregnancy out of 11 patients with childbearing demand. Conclusions Hysteroscopy combined with B-ultrasonography in the diagnosis and treatment of early cornual pregnancy is a preferable method with advantages of highly efficacy, safety and mini-invasion.