摘要
目的分析宫腔镜治疗早期宫角妊娠的临床效果及安全性。方法将宝鸡市中心医院2012年1月至2013年1月收治的56例早期宫角妊娠患者依据随机数字表法分为两组:宫腔镜治疗组(36例)采用宫腔镜治疗,常规治疗组(20例)采用B超下常规吸宫手术,观察两组患者的术中出血量、手术成功率、术后β人绒毛膜促性腺激素(β-HCG)下降时间、月经恢复情况及再次妊娠结局。结果宫腔镜治疗组手术成功率为100%,常规治疗组手术成功率为80%,两组比较差异有统计学意义(P<0.05);宫腔镜治疗组术中出血量少于常规治疗组,术后恢复月经时间及β-HCG下降时间也短于常规治疗组,两组比较差异有统计学意义(P<0.05);宫腔镜治疗组妊娠率为69.44%,常规治疗组妊娠率为40%,两组比较差异有统计学意义(P<0.05)。结论对未宫角妊娠,宫腔镜下可进一步明确诊断,同时可发现其他宫腔内疾病。宫腔镜治疗宫角妊娠较传统吸宫手术安全、微创,且患者出血少,疗效满意。
Objective To analyze the clinical effects and safety of hysteroscopy treatment tbr cornual pregnancy. Methods Fifty-six cases of early uterine horn pregnancy admitted to Baoji Central Hospital from January 2012 to January 2013 were randomly divided into two groups: hysteroscopic treatment group (36 cases) using hysteroscopie treatment, the conventional treatment group ( 20 cases) using the B-conventional surgical evacuation. Blood loss,surgical success rate, postoperative [3-HCG fall tim~, menstrual recovery and subsequent pregnancy outcome of the two groups were observed. Results Success rate of surgery of the hyst- eroscopic treatment group was 100% ,of the conventional treatment group was 80% ,and the difference was statistically significant( P 〈0.05 ). Intraoperative blood loss, postoperative recovery period time, β-HCG fall time of the hysteroscopic treatment group were lower than the conventional treatment group, and the differences between the two group had statistical significance( P 〈 0.05 ). Pregnancy of the hysteroscopic treatment group was 69.44% ,of the conventional treatment group was 40%, and the difference was statistically significant(P 〈 0.05 ). Conclusion Hysteroscopy can further diagnose cornual pregnancy, and can find other intrauterine diseases at the mean time. Hysteroscopy treatment for cornual pregnancy is a safe and effective method with less blood loss and minimal invasion, which is better than the conventional surgical evacuation.
出处
《医学综述》
2013年第21期4025-4026,共2页
Medical Recapitulate
关键词
宫角妊娠
宫腔镜
治疗效果
Cornual pregnancy
Hysteroscope
Therapeutic effect