CAJ | 학술논문

目的：探讨经阴道宫腔镜手术治疗输卵管妊娠的疗效及临床护理要点。方法将我院68例输卵管妊娠患者按不同的手术方法术分为研究组36例和对照组32例。研究组行经阴道宫腔镜手术；对照组行腹腔镜手术。两组术后临床效果观察及护理进行分析。结果研究组患者术后疼痛（0-Ⅰ级），术后排气时间、术后病率、住院费用与对照组比较差异均有统计学意义（均P＜0.05），研究组患者手术时间、术中出血量、住院时间与对照组比较差异均无统计学意义（均P＜0.05）。结论经阴道宫腔镜手术治疗输卵管妊娠有较好的疗效，且符合微创要求、安全性更高，是一种治疗异位妊娠较理想的手术方式。
목적：탐토경음도궁강경수술치료수란관임신적료효급림상호리요점。방법장아원68례수란관임신환자안불동적수술방법술분위연구조36례화대조조32례。연구조행경음도궁강경수술；대조조행복강경수술。량조술후림상효과관찰급호리진행분석。결과연구조환자술후동통（0-Ⅰ급），술후배기시간、술후병솔、주원비용여대조조비교차이균유통계학의의（균P＜0.05），연구조환자수술시간、술중출혈량、주원시간여대조조비교차이균무통계학의의（균P＜0.05）。결론경음도궁강경수술치료수란관임신유교호적료효，차부합미창요구、안전성경고，시일충치료이위임신교이상적수술방식。
Objective To investigate the effect of tubal pregnancy curing by operation of uteroscope per vagina. Methods 68 patients of tubal pregnancy were divided into two groups, 36 patients of treat group and 32 patients of control group. Respectively, the treat group were treated by operation of uteroscope per vagina and the control group were treated by operation of celioscope. Then the two groups into comparison. ResultsThere were significant differences in postoperative pain(0-Ⅰgrade),anal exhaust time, postoperative morbidity and hospital costs between the groups(P<0.05).However,no obvious differences in intraoperative blood loss,operative time and length of hospital stay were found between the two groups(P<0.05) . Conclusion operation of uteroscope per vagina has a good effect in curing patients of tubal pregnancy. It is safe and fits the demand of minimal invasive.