腹腔镜治疗宫角妊娠28例临床疗效观察

Observation on the clinical efficacy of laparoscope treatment for 28 cases of cornual pregnancy

目的探讨腹腔镜在宫角妊娠诊治中的作用。方法选取该院2005年7月～2011年5月宫角妊娠患者28例,根据不同术式分为开腹组和腹腔镜组;比较两组患者的术中出血量、手术时间、β-HCG转阴时间等。结果腹腔镜组患者腹腔内出血量及平均输血量与开腹组比较差异无显著性(P>0.05);而手术时间、术中出血量、β-HCG转阴时间、术后排气时间和吸收热发生率与对照组比较,差异均有显著性(均P<0.05)。结论腹腔镜手术出血少、恢复快,有利于宫角妊娠诊治。

【Objective】To investigate the function of peritoneoscope in the diagnosis and treatment of cornual pregnancy. 【Methods】28 cases with cornual pregnancy from 2005 to 2011 were divided into two groups, the open surgery group and the peritoneoscope group according to different techniques.Then made a comparation of the two groups in the volume of intra-operative blood loss , the operating time and the negative time of β-HCG.【Results】 There was no significant difference between the two groups in the blood loss of enterocoelia and the average quantity of blood transfusion （P 〉0.05）. However, a remarkable one was observed in the volume of intra-operative blood loss , the operating time, the negative time of β-HCG （P〈0.05）.【Conclusion】The peritoneoscope surgery possesses advantages in the treatment of cornual pregnancy by offering a less blood loss and a quick recovery.