宫腹腔镜下吸宫术在宫角妊娠中的临床应用研究

Clinical Application of Aspiration with Hysteroscopy-Laparoscopy in Cornual Pregnancy

目的:研究宫腹腔镜下吸宫术在宫角妊娠中的临床应用。方法:选取在我院2015年6至2017年6就诊的宫角妊娠患者126例,按随机数字表法分为观察组和对照组,观察组采用宫腹腔镜下吸宫术治疗,对照组采用常规吸宫术治疗;观察两组患者术中出血以及血β人绒毛膜促性腺激素(血β-HCG)含量;观察两组患者其疗效效果。结果:观察组显效为39.7%,有效为52.4%,无效为7.9%;对照组显效为25.4%,有效为46.0%,无效为28.6%;观察组总有效率92.1%明显高于对照组总有效率71.4%,比较差异具有统计学意义(P<0.05);观察组术中出血量为(57.32±6.52)和术后血β-HCG含量为(4.22±0.51)均低于对照组术中出血量为(94.32±10.02)和术后血β-HCG含量为(13.71±2.98),差异显著,具有统计学意义(P<0.05)。治疗后,观察组总满意度(92.1%)明显高于对照组总满意度(69.8%),差异具有比较意义(P<0.05)。结论:宫腹腔镜下吸宫术治疗宫角妊娠明显降低了患者术中出血量及血β-HCG含量,提高患者手术成功率,具有临床意义。

Objective: To study the clinical application of aspiration with hysteroscopy-laparoscopy in cornual pregnancy. Methods: A total of 126 patients with cornual pregnancy who were treated in our hospital from June 2015 to June 2017 were selected and randomly divided into a control group( n = 63) and an observation group( n = 63). The observation group was treated by aspiration with hysteroscopy-laparoscopy,and the control group was treated by conventional aspiration. The therapeutic effects of the two groups were evaluated based on intraoperative bleeding volume and level of serum β-human chorionic gonadotropin( β-HCG). Results: For the observation group,the markedly effective rate was 39.7%,the effective rate was 52.4%,and the ineffective rate was 7.9%. For the control group,the markedly effective rate was 25.4%,the effective rate was 46.0%,and the ineffective rate was 28.6%. The overall effective rate of the observation group( 92.1%)was significantly higher than that of the control group( 71.4%)( P <0.05). The intraoperative bleeding volume of the observation group was( 57.32 ± 6.52) ml,and the postoperative serum β-HCG level was( 4.22 ± 0.51) m IU/ml,which were both significantly lower than those of the control group(( 94.32 ± 10.02) ml and( 13.71 ± 2.98) m IU/ml)( P <0.05). After treatment,the total satisfaction rate of the observation group( 92.1%) was significantly higher than that of the control group( 69.8%)( P <0.05). Conclusion: Aspiration with hysteroscopy-laparoscopy in cornual pregnancy significantly reduced intraoperative bleeding volume and serumβ-HCG level,and increased the success rate of surgery,thus being of great clinical significance.