宫腔镜与腹腔镜联合治疗宫角妊娠的临床效果观察

Clinical Observation of Hysteroscopy Combined with Laparoscopy in the Treatment of Uterine Horn Pregnancy

目的:观察宫腔镜与腹腔镜联合治疗宫角妊娠的临床效果。方法:选取2019年3月~2020年2月本院收治的76例宫角妊娠患者为研究对象。以随机抽签法分组,各38例。对照组采取B超刮宫术治疗,观察组采取宫腔镜联合腹腔镜治疗。对比分析两种手术方案的临床效果差异。结果:相比于对照组,观察组手术时间更短,术中出血量较少,两项组间存在统计学差异(P<0.05)。手术成功率比较,观察组和对照组分别为100.0%和78.9%,两组对比观察组更高(χ^(2)=8.941,P=0.003);相比于对照组,观察组HCG下降时间、住院时间及月经恢复时间较短,组间对比差异显著(P<0.05)。结论:采用宫腔镜联合腹腔镜治疗宫角妊娠,可缩短手术时间,降低手术创伤,提升手术治疗有效性,并确切改善患者预后。

Objective:To observe the clinical effect of hysteroscopy and laparoscopy in the treatment of cornual pregnancy.Methods:A total of 76 patients with angular pregnancy admitted to our hospital from March 2019 to February 2020 were selected as the research objects.Grouped by random draw,38 cases in each group.The control group was treated with B-ultrasound and curettage,and the observation group was treated with hysteroscopy combined with laparoscopy.Comparative analysis of the difference in clinical effects of the two surgical procedures.Results:Compared with the control group,the observation group had shorter operation time and less intraoperative blood loss.There was a statistical difference between the two groups(P<0.05).The success rate of surgery was 100.0%and 78.9%in the observation group and the control group,respectively.The comparison between the two groups and the observation group was higher(χ^(2)=8.941,P=0.003);Compared with the control group,the HCG lowering time,hospitalization time and menstruation recovery time in the observation group were shorter,with significant difference between groups(P<0.05).Conclusion:Hysteroscopy combined with laparoscopy in the treatment of angular pregnancy can shorten the operation time,reduce surgical trauma,improve the effectiveness of surgical treatment,and definitely improve the prognosis of patients.