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目的:探讨宫角妊娠的个体化处理。方法:回顾分析我院2009年以来130例确诊为宫角妊娠手术方法处理及治疗效果,34例腹腔出血少或未破裂行B超定位下吸宫术设为A组;49例腹腔大出血直接开腹手术设为B组;47例妊娠未破裂行腹腔镜监视下直接经阴道吸宫术设为C组。比较分析三组的治疗效果。结果:手术时间:A组A组>B组,三组治疗效果比较差异有显著性(P<0.05)。结论:腹腔镜监视下直接经阴道行吸宫术,定位准确,手术时间短,刮宫彻底,恢复快,并能保留子宫、输卵管完整性,保留子宫、输卵管内口及子宫角部通畅性,保存生育能力,值得推广。
Objective: To investigate the individualized treatment of cornual pregnancy. Methods: A retrospective analysis of our hospital since 2009, 130 cases diagnosed as palace horn pregnancy surgical treatment and treatment effect, 34 cases of less or no rupture of abdominal bleeding under the B-positioning of the suction as a group A; 49 cases of celiac hemorrhage directly Abdominal surgery was set as group B; 47 cases of pregnancy without rupture under direct laparoscopic monitoring by transvaginal aspiration C group. Comparative analysis of the three groups of treatment. Results: The operation time: A group A group> B group, the difference between the three groups was significant (P <0.05). Conclusions: Laparoscopy directly transvaginal aspiration, accurate positioning, short operative time, complete curettage, rapid recovery, and can retain the uterus, fallopian tube integrity, retention of the uterus, fallopian tubes and uterine horn mouth opening, save Fertility, it is worth promoting.