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目的探讨宫腔镜联合B超对宫内妊娠组织残留诊断价值及治疗效果。方法选择2013年3月至2015年1月收治的宫内妊娠组织残留病例共60例,按照随机数字表法分为观察组与对照组,每组30例。观察组采用宫腔镜联合B超诊断治疗,对照组经B超诊断确诊后行再次清宫术。观察两组患者诊断符合率,对比两组患者治疗有效率、经治疗后阴道出血时间及月经恢复时间。结果观察组诊断符合率为93.33%,对照组为73.33%,观察组诊断符合率高于对照组(P<0.05)。治疗后观察组有效率为100%,对照组为70.00%,观察组有效率高于对照组(P<0.01)。观察组宫内妊娠组织残留患者的阴道出血时间及月经恢复时间均优于对照组(P均<0.01)。结论宫腔镜联合B超对宫内妊娠组织残留具有较高诊断价值,疗效确切,患者术后恢复良好。
Objective To investigate the value of hysteroscopy combined with ultrasound in the diagnosis of intrauterine pregnancy residual tissue and its therapeutic effect. Methods A total of 60 cases of intrauterine pregnancy were collected from March 2013 to January 2015, and divided into observation group and control group according to the random number table method, with 30 cases in each group. The observation group was treated by hysteroscopy combined with B-ultrasound, while the control group was diagnosed by B-ultrasound again after curettage. Observe the diagnostic accuracy of the two groups of patients, comparing the two groups of patients with treatment efficiency, after treatment of vaginal bleeding time and menstruation recovery time. Results The coincidence rate of the observation group was 93.33% and that of the control group was 73.33%. The coincidence rate of the observation group was higher than that of the control group (P <0.05). After treatment, the effective rate was 100% in the observation group and 70.00% in the control group, and the effective rate in the observation group was higher than that in the control group (P <0.01). The observation group intrauterine pregnancy residual vaginal bleeding time and menstrual recovery time were better than the control group (P all <0.01). Conclusion Hysteroscopy combined with B-ultrasonography has a high diagnostic value for residual intrauterine pregnancy, with definite curative effect and good postoperative recovery.