宫腹腔镜联合诊治宫角妊娠36例临床分析

Clinical analysis of laparoscope combined with hysteroscope in diagnosis and treatment of 36 corneal pregnancy cases

目的探讨宫腹腔镜联合诊治宫角妊娠的效果。方法对36例宫角妊娠患者行宫腹腔镜联合诊治,分析诊治效果。结果 36例患者均在宫腹腔镜下顺利完成手术,无中转开腹,无持续妊娠。平均手术时间（50±15）min,术中出血50~100 ml。每周复查血人绒毛膜促性腺激素（β-HCG）,术后15～28 d内均降至正常,术后3个月行碘油造影,宫腔形态正常,双侧输卵管通畅。结论宫腹腔镜联合诊治宫角妊娠安全有效,值得临床推广。

Objective To explore the effect of laparoscope combined with hysteroscope in diagnosis and treatment of cornual pregnancy. Methods A total of 36 cases of cornual pregnancy received laparoscope combined with hysteroscope treatment, and the curative effects were analyzed. Results All the 36 cases underwent successful surgery by hysteroscope and laparoscope, and no laparotomy and persistent pregnancy occurred. The average operation time was（50±15） min, and the intraoperartive bleeding volume was 50～100 ml. Human chorionic gonadotropin（β-HCG） was rechecked in every week and it decreased to normal level within 15~28 d after surgery. Iodized oil imaging in 3 months after surgery showed that the uterine cavity form was normal and two fallopian tubes were unobstructed. Conclusion Laparoscope combined with hysteroscope is safe and effective in diagnosis and treatment of cornual pregnancy, and this method is worth clinical promotion.