检验医学与临床2024，Vol.21Issue(2)：192-195,4.DOI:10.3969/j.issn.1672-9455.2024.02.011
经腹超声监视引导下宫腔镜清宫术治疗宫角妊娠的临床疗效
Clinical efficacy of hysteroscopic curettage guided by transabdominal ultrasound monitoring in the treatment of cornual pregnancy
摘要
Abstract
Objective To investigate the clinical efficacy of hysteroscopic curettage guided by transabdomi-nal ultrasound monitoring in the treatment of cornual pregnancy.Methods A total of 83 patients with angular pregnancy admitted to Yingtan 184 Hospital from January 2021 to December 2022 were selected as the study objects and divided into control group(41 cases)and observation group(42 cases)by random number table method.The control group was treated with conventional laparoscopic surgery,and the observation group was treated with hysteroscopic curettage guided by transabdominal ultrasound monitoring.The surgical indicators of the two groups were compared,including operation time,intraoperative blood loss,postoperative vaginal bleeding time,hospital stay and treatment cost,as well as serum human chorionic gonadotropin(β-HCG)lev-els before and 24 hours after operation,the recovery time of β-HCG after operation,the success rate of one op-eration and uterine involution.Results The intraoperative blood loss of the observation group was less than those of the control group,the operation time,postoperative vaginal bleeding time,hospital stay,β-HCG recov-ery time were shorter than those of the control group,the treatment cost was lower than that of the control group,the differences were statistically significant(P＜0.05).There was no significant difference in serum β-HCG level between the two groups before operation(P＞0.05).The level of serum β-HCG 24 h after opera-tion in the two groups was lower than that before operation,and the level of serum β-hcg in the observation group was lower than that in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the success rate of one operation and the good rate of uterine involution between the two groups(P＞0.05).Conclusion Hysteroscopic curettage guided by transabdominal ultra-sound monitoring for cornual pregnancy has high success rate of first operation and good rate of uterine invo-luting.Compared with conventional laparoscopic surgery,this surgical method has the advantages of shorter operation time,less intraoperative blood loss,faster recovery time of β-HCG to normal after operation,and lower treatment cost,which is worthy of clinical promotion.关键词
经腹超声监视引导下宫腔镜清宫术/宫角妊娠/人绒毛膜促性腺激素/临床疗效/手术成功率/腹腔镜手术Key words
hysteroscopic curettage guided by transabdominal ultrasound monitoring/cornual pregnan-cy/human chorionic gonadotropin/clinical efficacy/surgical success rate/laparoscopic surgery分类
医药卫生引用本文复制引用
彭亮,舒华宝,吴珊燕,吴胜华l,杨子熠,王小娟,吴志华..经腹超声监视引导下宫腔镜清宫术治疗宫角妊娠的临床疗效[J].检验医学与临床,2024,21(2):192-195,4.基金项目
江西省鹰潭市科技计划项目[(2014)zc-60-27]. （2014）
