影像科学与光化学2025，Vol.43Issue(4)：40-45,52,7.DOI:10.7517/issn.1674-0475.2025.04.06
阴道超声辅助腹腔镜治疗宫内外复合妊娠的疗效及对妊娠结局的影响
Efficacy of Trans vaginal Ultrasound-assisted Laparoscopy in the Treatment of Intrauterine and Extrauterine Heterotopic Pregnancy and its Influence on Pregnancy Outcome
摘要
Abstract
Objective:To explore the efficacy of transvaginal ultrasound-assisted laparoscopic surgery in the treatment of intrauterine and extrauterine heterotopic pregnancy(HP)and its influence on pregnancy outcome.Methods:From January 2021 to June 2022,54 HP patients post-IVFET were randomized into control(laparoscopic surgery)and observation(laparoscopic with vaginal ultrasound)groups(27/group).Vaginal ultrasound's characteristics and accuracy were analyzed,and intraoperative conditions,blood loss,time,and pregnancy outcomes were compared.Results:Characteristics of transvaginal ultrasound images showed 48 fetal cyst,2 mass,and 4 floating types,diagnosing 50/54 HP cases(92.59％accuracy,7.41％missed).Both groups had similar laparotomy conversions,ruptures,and transfusions(P＞0.05).Observation group had less blood loss[(61.45±17.37)mL vs.(86.23±18.72)mL]and shorter ops[(45.13±7.36)min vs.(51.32±8.11)min](P＜0.05).Live birth rates were comparable(P＞0.05).Conclusion:The accuracy rate of diagnosing HP by transvaginal ultrasound is 92.59％,and the treatment of HP by transvaginal ultrasound-assisted laparoscopic surgery can effectively reduce the amount of bleeding during the operation and shorten the operation time,without increasing the risk of adverse pregnancy outcome,showing good safety.关键词
宫内外复合妊娠/阴道超声/腹腔镜/准确率/妊娠结局/术中出血量Key words
intrauterine and extrauterine heterotopic pregnancy/transvaginal ultrasonography/laparoscopy/accuracy/pregnancy outcome/intraoperative bleeding volume分类
临床医学引用本文复制引用
吕双军,尚琴琴,朱丽,毛剑,刘何利..阴道超声辅助腹腔镜治疗宫内外复合妊娠的疗效及对妊娠结局的影响[J].影像科学与光化学,2025,43(4):40-45,52,7.基金项目
2022年度河北省医学研究课题(20220682). （20220682）
