宫腹腔镜联合方案对宫角妊娠患者的诊疗效果评价

发布时间：2018-06-24 04:25

本文选题：宫角妊娠 + 腹腔镜下宫角切除　；参考：《中国医药科学》2016年20期

【摘要】：目的探讨宫腹腔镜联合方案对宫角妊娠患者的临床诊疗效果。方法选取2012年10月~2015年12月至我院行开腹及宫腹腔镜联合宫角部妊娠病灶切除的80例的患者进行回顾性分析,其中宫腹腔镜联合方案治疗宫角部妊娠病灶切除40例,开腹宫角部妊娠病灶切除40例,比较两组术中及术后情况。(1)对比观察两组患者术中手术时间、术中出血量、平均住院时间、切口长度、止痛时间等情况;(2)术后人绒毛膜促性腺激素(HCG)恢复正常所需时间(每周复查一次)、月经正常复潮所需时间、复查B超子宫肌层回声是否均匀及有无并发症发生;(3)两组患者自我满意度对比情况。结果两组手术时间比较差异无统计学意义(P0.05)。观察组术中出血量、平均住院时间、切口长度、止痛时间等情况均较对照组明显减少(P0.05);两组无并发症率比较差异无统计学意义(P0.05)。观察组复查B超子宫肌层回声正常率、HCG恢复至正常时间、月经恢复时间等情况均明显优于对照组(P0.05);观察组总满意率为95.0%明显高于对照组总满意率77.5%,两组比较差异有统计学意义(P0.05)。结论宫腔镜与腹腔镜联合应用手术治疗宫角妊娠较传统手术治疗宫角妊娠更安全、有效,降低了患者的痛苦程度,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of hysteroscopy combined with laparoscopy in the diagnosis and treatment of pregnancy. Methods from October 2012 to December 2015, 80 patients who underwent laparotomy and hysteroscopy combined with uterine corner pregnancy focus resection were retrospectively analyzed. Among them, 40 cases were treated with hysteroscopy combined with laparoscopy. 40 cases of pregnancy focus were resected at the angle of open uterus. (1) the operative time, blood loss, average hospital stay, incision length were compared between the two groups. (2) the time required for human chorionic gonadotropin (HCG) to return to normal (weekly reexamination), and the time required for menstruation to return to normal. Check whether the uterine myometrium echo is homogenous and whether there are complications. (3) the comparison of self-satisfaction between the two groups. Results there was no significant difference in operation time between the two groups (P0.05). The amount of intraoperative bleeding, average hospital stay, incision length, pain relief time in the observation group were significantly lower than those in the control group (P0.05); there was no significant difference in the rate of no complications between the two groups (P0.05). The normal rate of myometrium echo in the observation group and the recovery time of HCG were significantly better than those of the control group (P0.05), while the total satisfaction rate of the observation group was 95.0% higher than that of the control group (77.5%), and the difference between the two groups was statistically significant (P0.05). Conclusion the combination of hysteroscopy and laparoscopy in the treatment of uterine horn pregnancy is more safe and effective than traditional surgery in the treatment of uterine horn pregnancy. It can reduce the degree of pain of the patients and is worthy of clinical application.
【作者单位】：广东省东莞市大岭山医院妇产科;
【分类号】：R714.22

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