宫腹腔镜联合诊治宫角妊娠、输卵管间质部妊娠疗效观察  

Clinical Application of the Laparoscopy Combined with Hysteroscopy or Laparoscopy only in Treating Cornual Pregnancy and Interstitial Tubal Pregnancy

作　　者：吴继蓉[1] 彭晓梅[1] 李佳琦[1] 

机构地区：[1]四川省成都市第五人民医院妇产科,611130

出　　处：《国际生殖健康／计划生育杂志》2013年第4期284-285,共2页Journal of International Reproductive Health/Family Planning

摘　　要：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。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.

关 键 词：腹腔镜检查 腹腔镜 妊娠 异位 妊娠 输卵管 

分 类 号：R714.2[医药卫生—妇产科学]