Hysteroscopy combined ultrasound treatment of cornual pregnancy the value of.docVIP

 PAGE \* MERGEFORMAT 4 Hysteroscopy combined ultrasound treatment of cornual pregnancy the value of [Keywords:] cornual pregnancy Cornual pregnancy is an ectopic pregnancy, the incidence is low, but likely to occur during pregnancy uterine horn rupture, causing life-threatening hemorrhagic shock. Curettage because of cornual pregnancy is difficult, risky, easier to drain suction in the past treatment of multiple use of abdominal surgery and tubal uterine horn ipsilateral to the treatment. With the clinical endoscopic technology and ultrasonic level improved the treatment of cornual pregnancy has been a number of ways. We will hysteroscopy ultrasonic method was applied to the treatment of cornual pregnancy, showing a good clinical effect, the report is as follows. 1 Data and methods 1.1 General information, including in May 1995 ~ October 2006 in our hospital diagnosed as having a total of 74 cases of cornual pregnancy. Age 21 to 38 years old, with an average (30.02 ± 4.78) years of age. Inclusion criteria: According to the preoperative ultrasonography, serum human chorionic gonadotropin (human chorionic gonadotropin, HCG) and intraoperative diagnosis of the cases of cornual pregnancy. In the following circumstances are excluded: Preoperative ultrasound diagnosis of non-cornual pregnancy; intraoperative diagnosis of exclusion cornual pregnancy; or surgery of uterine rupture was found by hysterectomy. 26 of them routine hysteroscopic surgery, 32 routine abdominal surgery, 16 routine laparoscopic surgery. Clinical manifestations of each group in Table 1. Table 1, three groups of cornual pregnancy, the main clinical manifestations of 1.2 surgical hysteroscopy group intravenous propofol anesthesia, the application of a rigid 6mm hysteroscopic (manufactured by Shanghai Baolong Gold) or 4mm rigid hysteroscope (STROZE produced by the United States), the intrauterine spare 10mm Electric Cutting microscope (produced by the United States Johnson amp;amp; Johnson), a