Abstract：Objective: To study the clinical application of aspiration with hysteroscopy-laparoscopy in cornual pregnancy. Methods: A total of 126 patients with cornual pregnancy who were treated in our hospital from June 2015 to June 2017 were selected and randomly divided into a control group (n=63) and an observation group (n=63). The observation group was treated by aspiration with hysteroscopy-laparoscopy, and the control group was treated by conventional aspiration. The therapeutic effects of the two groups were evaluated based on intraoperative bleeding volume and level of serum β-human chorionic gonadotropin (β-HCG). Results: For the observation group, the markedly effective rate was 39.7%, the effective rate was 52.4%, and the ineffective rate was 7.9%. For the control group, the markedly effective rate was 25.4%, the effective rate was 46.0%, and the ineffective rate was 28.6%. The overall effective rate of the observation group (92.1%) was significantly higher than that of the control group (71.4%) (P<0.05). The intraoperative bleeding volume of the observation group was (57.32 ± 6.52) ml, and the postoperative serum β-HCG level was (4.22 ± 0.51) mIU/ml, which were both significantly lower than those of the control group ((94.32 ± 10.02) ml and (13.71 ± 2.98) mIU/ml) (P <0.05). After treatment, the total satisfaction rate of the observation group (92.1%) was significantly higher than that of the control group (69.8%) (P<0.05). Conclusion: Aspiration with hysteroscopy-laparoscopy in cornual pregnancy significantly reduced intraoperative bleeding volume and serum β-HCG level, and increased the success rate of surgery, thus being of great clinical significance.
[1] Katagiri H, Lefor AK, Kubota T, et al . Massive hematoma after fine-needle aspiration of the thyroid[J].Surgery,2016,160(1):245~246. [2] 黄平,陈光元.宫腹腔镜联合诊治宫角妊娠及输卵管间质部妊娠的临床效果评价[J].海南医学,2015,07(26):1052~1054. [3] 郑亚峰,蒋云芬.开腹及宫腹腔镜治疗宫角妊娠的效果比较[J].实用临床医药杂志,2015,13(19):178~179. [4] 蒋来,曲皖君,公颜平,等.宫角妊娠患者不同治疗方式的探讨[J].中国临床保健杂志,2015,6(18):628~629. [5] 陈晓芳.宫腹腔镜下吸宫术治疗宫角妊娠的临床效果分析[J].河南医学研究,2015,12(24):77~78. [6] Moore SM, Burlew CC. Nutrition support in the open abdomen[J].Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2016 , 31 (1 ):9~13. [7] 刘岩. 宫腹腔镜下吸宫术对宫角妊娠的治疗价值[J].医疗装备,2016,2(21):7. [8] 张玲,王鹓,陈祥云.宫角妊娠的诊断及手术治疗(附31例报告)[J].哈尔滨医药,2016,3(36):225~226. [9] Li C, Kennedy C, Nabi G. Optimized retroperitoneoscopic excision of large (>25 cm) adult polycystic kidneys using 3-dimensional image reconstruction and preresection ultrasound-guided aspiration: technique and early outcomes[J].Surgical Innovation, 2015,22 (6 ):582~587. [10] 罗钰铭,李静波,周燕,等.经腹腔镜输卵管切除术后同侧宫角妊娠5例诊治体会[J].现代诊断与治疗,2016,16(27):3110~3111. [11] 沈蓉,徐梅,高建武.40例宫角妊娠关注性刮宫和宫腔镜治疗后受孕率对比[J].中国性科学,2016,9(25):105~107. [12] 彭春红,何峥,王盛甲,等.超声对宫角妊娠的诊断价值研究[J].生物医学工程与临床,2016,5(20):501~504. [13] 潘成荣.宫腹腔镜联合方案对宫角妊娠患者的诊疗效果评价[J].中国医药科学,2016,20(6):87~90. [14] 王丹丹,王光伟,杨清.52例未破裂宫角妊娠的临床诊治和分析[J].中华腔镜外科杂志(电子版),2015,1(8):39~42. [15] 万晓洁,李晓琳,郑飞云.宫腹腔镜联合治疗在宫角妊娠中的应用[J].温州医科大学学报,2015,12(12):926~928. [16] 张云.宫腹腔镜联合诊治宫角妊娠及输卵管间质部妊娠的临床效果评价[J].当代临床医刊,2016,4(29):2347~2350.
2017, Vol. 23 
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