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目的探讨腹腔镜联合宫腔镜在宫角妊娠诊治中的临床应用价值。方法回顾性分析2005年10月—2010年1月采用宫腔镜联合腹腔镜诊治的19例宫角妊娠患者的临床资料。结果宫腔镜、腹腔镜联合诊治早期宫角妊娠的确诊率为100%,手术治疗成功率100为%;无术中及术后并发症发生;术后随访10～48个月,其中10例患者已再次妊娠并足月分娩。结论宫-腹腔镜联合可快速明确宫角妊娠诊断,并且对早期宫角妊娠的诊治可达到微创、安全有效和减少患者痛苦的目的,最重要的是能保留患者的生育功能。
Objective To investigate the clinical value of laparoscopy combined with hysteroscopy in diagnosis and treatment of uterine horn pregnancy. Methods The clinical data of 19 cases of uterine horn pregnancy diagnosed by hysteroscopy combined with laparoscopy from October 2005 to January 2010 were retrospectively analyzed. Results hysteroscopy and laparoscopy diagnosis and treatment of early pregnancy angle of pregnancy was 100%, the success rate of 100% surgical treatment; no intraoperative and postoperative complications occurred; 10 to 48 months after follow-up, of which 10 cases The patient has another pregnancy and full-term delivery. Conclusions The combination of laparoscopy and hysteroscopy can quickly diagnose the pregnancy of the uterine horn, and the diagnosis and treatment of early uterine horn pregnancy can achieve the purpose of minimally invasive, safe and effective and reduce the suffering of patients. The most important thing is to keep the reproductive function of the patient.