摘要
目的探讨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。方法选取2021年1月至2022年12月鹰潭一八四医院收治的83例宫角妊娠患者作为研究对象,采用随机数字表法分为对照组(41例)和观察组(42例)。对照组采用常规腹腔镜手术治疗,观察组采用经腹超声监视引导下宫腔镜清宫术治疗。比较两组患者手术指标,包括手术时间、术中出血量、术后阴道出血时间、住院时间、治疗费用,以及术前及术后24 h血清人绒毛膜促性腺激素(β-HCG)水平、术后β-HCG恢复正常时间、一次手术成功率和子宫复旧情况。结果观察组患者术中出血量少于对照组,手术时间及术后阴道出血时间、住院时间、β-HCG恢复至正常时间均短于对照组,治疗费用低于对照组,差异均有统计学意义(P<0.05);两组患者术前血清β-HCG水平比较,差异无统计学意义(P>0.05);两组患者术后24 h血清β-HCG水平均低于术前,且观察组患者低于对照组,差异均有统计学意义(P<0.05);两组患者一次手术成功率、术后子宫复旧良好率比较,差异均无统计学意义(P>0.05)。结论经腹超声监视引导下宫腔镜清宫术治疗宫角妊娠的一次手术成功率、术后子宫复旧良好率高,相对于常规腹腔镜手术,该术式具有手术时间短、术中出血量少、术后β-HCG恢复至正常时间快、治疗费用低等优势,值得临床推广使用。
Objective To investigate the clinical efficacy of hysteroscopic curettage guided by transabdominal 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)levels before and 24 hours after operation,the recovery time ofβ-HCG after operation,the success rate of one operation 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 recovery 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 serumβ-HCG level between the two groups before operation(P>0.05).The level of serumβ-HCG 24 h after operation in the two groups was lower than that before operation,and the level of serumβ-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 ultrasound monitoring for cornual pregnancy has high success rate of first operation and good rate of uterine involuting.Compared with conventional laparoscop
作者
彭亮
舒华宝
吴珊燕
吴胜华
杨子熠
王小娟
吴志华
PENG Liang;SHU Huabao;WU Shanyan;WU Shenghua;YANG Ziyi;WANG Xiaojuan;WU Zhihua(Department of Ultrasound Diagnosis,Yingtan 184 Hospital,Yingtan,Jiangxi 335000,China;Department of Ultrasound,The 908 Hospital of Joint Logistics Support Force,Nanchang,Jiangxi 330000,China)
出处
《检验医学与临床》
CAS
2024年第2期192-195,共4页
Laboratory Medicine and Clinic
基金
江西省鹰潭市科技计划项目[(2014)zc-60-27]。
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
hysteroscopic curettage guided by transabdominal ultrasound monitoring
cornual pregnancy
human chorionic gonadotropin
clinical efficacy
surgical success rate
laparoscopic surgery
