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目的探讨宫腹腔镜联合诊治宫角妊娠的效果。方法对36例宫角妊娠患者行宫腹腔镜联合诊治,分析诊治效果。结果 36例患者均在宫腹腔镜下顺利完成手术,无中转开腹,无持续妊娠。平均手术时间(50±15)min,术中出血50~100 ml。每周复查血人绒毛膜促性腺激素(β-HCG),术后15~28 d内均降至正常,术后3个月行碘油造影,宫腔形态正常,双侧输卵管通畅。结论宫腹腔镜联合诊治宫角妊娠安全有效,值得临床推广。
Objective To investigate the effect of hysteroscopy combined with laparoscopic diagnosis and treatment of cornual pregnancy. Methods 36 cases of uterine horn pregnancy in patients with palace laparoscopic diagnosis and treatment, diagnosis and treatment. Results All the 36 patients underwent successful laparoscopic surgery without laparotomy and without continuous pregnancy. The average operation time (50 ± 15) min, intraoperative bleeding 50 ~ 100 ml. Weekly review of human chorionic gonadotropin (β-HCG), 15 to 28 days after surgery were reduced to normal, 3 months after surgery lipiodol angiography, uterine cavity morphology, bilateral tubal patency. Conclusions Palace laparoscopy combined with diagnosis and treatment of cornual pregnancy is safe and effective, which is worthy of clinical promotion.