宫腹腔镜联合诊治宫角妊娠、输卵管间质部妊娠疗效观察

摘要

Objective:To compare the efficacy of the laparoscopy combined with hysteroscopy or the laparoscopy only in treating tubal interstitial pregnancy and cornual pregnancy. Methods:From August 2007 to August 2012,there were 59 patients with tubal interstitial pregnancy or cornual pregnancy in our hospital. They were divided into two groups,group A treated with the laparoscopy combined with hysteroscopy,group B treated with the laparoscopy only. The clinical data were retrospectively analyzed. Results:The diagnostic accordance rate,operating time,blood loss,and the success rate of retaining fallopian tube,were significantly different in two groups (P<0.05). The average hospital stays after operation,and the tiem of hCG changing negative,were insignificantly different in two groups (P>0.05). Conclusions:The combination of laparoscopy and hysteroscopy can make definite diagnosis of tubal interstitial pregnancy and cornual pregnancy. It is a safe and effective way to protect the integrity of uterine and fallopian tube.%　　目的：探讨宫腹腔镜联合在宫角妊娠及输卵管间质部妊娠诊治的临床疗效。方法：对2007年8月-2012年8月成都市第五人民医院收治的59例疑诊宫角妊娠及输卵管间质部妊娠拟手术治疗患者，随机分为2组：宫腹腔镜联合组（联合组）30例，腹腔镜组（腹腔镜组）29例，对比分析2组手术的情况及效果。结果：2组诊断符合率、手术时间、术中失血量、保留输卵管成功率的差异有统计学意义（P＜0.05），而2组术后住院时间及人绒毛膜促性腺激素（hCG）转阴时间相比差异无统计学意义（P＞0．05）。结论：宫腹腔镜联合手术能早期明确诊断宫角妊娠及输卵管间质部妊娠，对于保留子宫输卵管完整性是行之有效的方法。