CAJ | 학술논문

　　目的：探讨宫腹腔镜联合在宫角妊娠及输卵管间质部妊娠诊治的临床疗效。方法：对2007年8月-2012年8月成都市第五人民医院收治的59例疑诊宫角妊娠及输卵管间质部妊娠拟手术治疗患者，随机分为2组：宫腹腔镜联合组（联合组）30例，腹腔镜组（腹腔镜组）29例，对比分析2组手术的情况及效果。结果：2组诊断符合率、手术时间、术中失血量、保留输卵管成功率的差异有统计学意义（P＜0.05），而2组术后住院时间及人绒毛膜促性腺激素（hCG）转阴时间相比差异无统计学意义（P＞0．05）。结论：宫腹腔镜联合手术能早期明确诊断宫角妊娠及输卵管间质部妊娠，对于保留子宫输卵管完整性是行之有效的方法。
　　목적：탐토궁복강경연합재궁각임신급수란관간질부임신진치적림상료효。방법：대2007년8월-2012년8월성도시제오인민의원수치적59례의진궁각임신급수란관간질부임신의수술치료환자，수궤분위2조：궁복강경연합조（연합조）30례，복강경조（복강경조）29례，대비분석2조수술적정황급효과。결과：2조진단부합솔、수술시간、술중실혈량、보류수란관성공솔적차이유통계학의의（P＜0.05），이2조술후주원시간급인융모막촉성선격소（hCG）전음시간상비차이무통계학의의（P＞0．05）。결론：궁복강경연합수술능조기명학진단궁각임신급수란관간질부임신，대우보류자궁수란관완정성시행지유효적방법。
Objective:To compare the efficacy of the laparoscopy combined with hysteroscopy or the laparoscopy only in treating tubal interstitial pregnancy and cornual pregnancy. Methods:From August 2007 to August 2012,there were 59 patients with tubal interstitial pregnancy or cornual pregnancy in our hospital. They were divided into two groups,group A treated with the laparoscopy combined with hysteroscopy,group B treated with the laparoscopy only. The clinical data were retrospectively analyzed. Results:The diagnostic accordance rate,operating time,blood loss,and the success rate of retaining fallopian tube,were significantly different in two groups (P<0.05). The average hospital stays after operation,and the tiem of hCG changing negative,were insignificantly different in two groups (P>0.05). Conclusions:The combination of laparoscopy and hysteroscopy can make definite diagnosis of tubal interstitial pregnancy and cornual pregnancy. It is a safe and effective way to protect the integrity of uterine and fallopian tube.