宫腔镜电切术治疗难治性宫角妊娠35例  

35 Cases of Hysteroscopic Transcervical Resection Remedy Refractory Cornual Pregnancy

作　　者：吴宜林[1] 张洪文[1] 陈蒲香[1] 王映霞[1] 刘凤英[1] 符淳[1] 丁晖[1] 聂妹芳[1] 

机构地区：[1]中南大学湘雅二医院妇产科,湖南省长沙市410011

出　　处：《国际妇产科学杂志》2012年第2期206-207,210,共3页Journal of International Obstetrics and Gynecology

摘　　要：目的:总结应用宫腔镜电切术治疗难治性宫角妊娠的临床经验。方法:对中南大学湘雅二医院2007年1月—2011年1月应用宫腔镜电切术治疗的35例难治性宫角妊娠(经过2次以上清宫甚至超声或宫腔镜指导下清宫失败)患者的临床资料进行回顾性分析。结果:34例一次性宫腔镜电切手术切除干净,有1例因胚胎组织粘连致密且浅植入肌壁进行第2次宫腔镜电切手术将病灶切除干净。手术时间(23.0±8.3)min,出血量(30.5±6.2)mL,清出组织(12.0±6.5)g,手术膨宫需液体量(3 808.3±529.5)mL。结论:应用宫腔镜电切术治疗难治性宫角妊娠安全、可靠,有很好的临床应用价值,值得推广。Objective：Summarize the clinical experience of hysteroscopic transcervical resection remedy on refractory cornual pregnancy. Methods： A total of 35 cases of refractory cornual pregnancy （After more than 2 times curettage or even by Ultrasound ,hysteroscopic fixed curettage failed）were treated with hysteroscopic transcervieal resection from January 2007 to January 2011 were analysed retrospectively. Results：34 cases were operated once successfully,only one case was operated again because the residue of embryo adhesion and superficial imbedding the uterine wall,the operation time （23.0±8.3） min, and the blood loss （30.5 ±6.2） mL, the weight of placenta varied （ 12.0±6.5 ） g, the volume of liquid of ex- panding uterus（3 808.3±529.5） mL. Conclusions：Hysteroscopic transcervical resection is safe and effective in treatment of cornual pregnancy residue of embryo and have good clinical value, worthy of promotion.

关 键 词：宫腔镜检查 妊娠 异位 胚胎植入 治疗 

分 类 号：R713[医药卫生—妇产科学]