宫腔镜手术治疗宫角妊娠的临床可行性研究

Clinical Feasibility Study of Hysteroscopy in Treatment of Cornual Pregnancy

目的:探究宫腔镜手术治疗宫角妊娠的临床可行性。方法:回顾性分析2016年7月-2018年7月本院收治的宫角妊娠患者临床资料,其中行常规腹腔镜切除或B超吸宫术患者50例为对照组,行宫腔镜手术患者50例为观察组。比较两组手术时间、术中出血量、住院时间及费用,以及术后患者阴道流血时间、hCG下降至正常的时间、宫内残留情况及子宫复旧情况。结果:观察组手术时间、术中出血量、住院时间、住院费用均少于对照组,差异均有统计学意义(P<0.05);观察组术后阴道流血时间、hCG下降至正常时间均短于对照组,宫内残留及子宫复旧情况均优于对照组,差异均有统计学意义(P<0.05)。结论:临床上宫腔镜手术治疗宫角妊娠具有微创、安全、有效、价格低廉等优势,可行性较高。

Objective:To explore the clinical feasibility of hysteroscopy in treatment of cornual pregnancy.Method:The clinical data of cornual pregnancy patients admitted to our hospital from July 2016 to July 2018 were retrospectively analyzed,50 patients who underwent conventional laparoscopic excision or B-mode ultrasonography were in control group and 50 patients who underwent hysteroscopy were in observation group.The operation time,intraoperative bleeding volume,hospitalization time and cost were compared between two groups,the time of vaginal bleeding,the time of hCG descending to normal,intrauterine residual and uterine involution between two groups were compared.Result:The operation time,intraoperative bleeding volume,hospitalization time and cost of observation group were less than those of control group,the differences were statistically significant(P<0.05).The time of vaginal bleeding and hCG descending to normal in observation group were shorter than those of control group,the intrauterine residual and uterine involution in observation group were better than those of control group,the differences were statistically significant(P<0.05).Conclusion:Hysteroscopy in treatment of cornual pregnancy is minimally invasive,safe,effective and inexpensive,and it has high feasibility.