腹腔镜联合宫腔镜在宫角妊娠患者中应用效果观察.docVIP

腹腔镜联合宫腔镜在宫角妊娠患者中应用效果观察 　　[摘要] 目的 观察腹腔镜联合宫腔镜在宫角妊娠患者中的应用效果。 方法 将60例宫角妊娠患者分为观察组和对照组。观察组患者在腹腔镜联合宫腔镜下行手术治疗，对照组患者在B超监护下行吸宫术。两组患者术后根据血β-HCG水平酌情使用甲氨蝶呤+四氢叶酸钙治疗。 结果 观察组的治愈率高于对照组；观察组术后药物（甲氨蝶呤+四氢叶酸）的使用率低于对照组；观察组的术中出血量明显比对照组少；观察组的术后血β-HCG下降时间明显比对照组短；观察组的术后成功妊娠率高于对照组（P0.05）。 结论 宫角妊娠患者使用腹腔镜联合宫腔镜的治疗效果更理想。 　　[关键词] 腹腔镜；宫腔镜；宫角妊娠 　　[中图分类号] R714.22+4 [文献标识码] B [文章编号] 1674-4721（2014）09（c）-0167-03 　　Application effect observation of laparoscope combined with hysteroscope in patients with angular pregnancy 　　YANG Xiu-zhen LIN Xiao-tao LIU Hua-liu MAI Li-na 　　Department of Gynaecology and Obstetrics，Yangjiang Maternal and Child Health Hospital in Guangdong Province，Yangjiang 529500，China 　　[Abstract] Objective To observe the application effect of laparoscope combined with hysteroscope in the patients with angular pregnancy. Methods 60 patients with angular pregnancy were divided into the observation group and the control group. The patients in the observation group were treated with the operation under laparoscope combined with hysteroscope.The patients in the control group were carried out uterine aspiration under B ultrasound.Methotrexate and tetrahydrofolic acid were given for patients in the two groups according to the blood level of β-HCG after opereation. Results The cure rate in the observation group was higher than in the control group；the utilization rate of drugs （methotrexate and tetrahydrofolic acid） in the observation group was lower than that in the control group；the operative bleeding amount in observation group was less than that in the control group；the fall time of β-HCG in the observation group was shorter than that in the control group；the successful rate of pregnancy in the observation group was higher than that in the control group （P0.05）. Conclusion The treatment effect of laparoscope combined with hysteroscope in patients with angular pregnancy is more ideal. 　　[Key words] Laparoscope；Hysteroscope；Angular pregnancy 　　宫角妊娠是妇科常见病，其诊断主要依赖B超，但B超检查存在漏诊和误诊可能[1-2