河北医学2017,Vol.23Issue(12):2068-2071,4.DOI:10.3969/j.issn.1006-6233.2017.12.041
宫腹腔镜下吸宫术在宫角妊娠中的临床应用研究
Clinical Application of Aspiration with Hysteroscopy-Laparoscopy in Cornual Pregnancy
摘要
Abstract
Objective:To study the clinical application of aspiration with hysteroscopy-laparoscopy in cornual pregnancy.Methods:A total of 126 patients with cornual pregnancy who were treated in our hospital from June 2015 to June 2017 were selected and randomly divided into a control group (n =63) and an observation group (n =63).The observation group was treated by aspiration with hysteroscopy-laparoscopy,and the control group was treated by conventional aspiration.The therapeutic effects of the two groups were evaluated based on intraoperative bleeding volume and level of serum β-human chorionic gonadotropin (β-HCG).Resuits:For the observation group,the markedly effective rate was 39.7%,the effective rate was 52.4%,and the ineffective rate was 7.9%.For the control group,the markedly effective rate was 25.4%,the effective rate was 46.0%,and the ineffective rate was 28.6%.The overall effective rate of the observation group (92.1%) was significantly higher than that of the control group (71.4%) (P <0.05).The intraoperative bleeding volume of the observation group was (57.32 ± 6.52) ml,and the postoperative serum β-HCG level was (4.22 ± 0.51) mIU/ml,which were both significantly lower than those of the control group ((94.32 ± 10.02) ml and (13.71 ± 2.98) mIU/ml) (P <0.05).After treatment,the total satisfaction rate of the observation group (92.1%) was significantly higher than that of the control group (69.8%) (P<0.05).Conclusion:Aspiration with hysteroscopy-laparoscopy in coruual pregnancy significantly reduced intraoperative bleeding volume and serum β-HCG level,and increased the success rate of surgery,thus being of great clinical significance.关键词
宫腹腔镜/吸宫术/宫角妊娠/血β-HCGKey words
Hysteroscopy-laparoscopy/Aspiration/Cornual pregnancy/Serum β-HCG引用本文复制引用
强琰,李玉娟,董玲燕,谢静燕..宫腹腔镜下吸宫术在宫角妊娠中的临床应用研究[J].河北医学,2017,23(12):2068-2071,4.基金项目
江苏省自然科学基金,(编号:BK2010583) (编号:BK2010583)