Abstract:

Objective: To evaluate the value of the hysteroscopy combined with laparoscopy and ultrasound in the diagnosis and treatment of non-ruptured and evagination type cornual pregnancy. Methods: The clinical data of 36 patients with non-ruptured and evagination type cornual pregnancy were retrospectively analyzed, who were treated by the hysteroscopy combined with laparoscopy and ultrasound in our hospital from July 2013 to July 2019. Results: The one-time operation processing was completed in 36 cases, including 31 cases with the hysteroscopic resection of embryo and uterine aspiration guided by laparoscopy and ultrasound. There was none of metrorrhexis during the operation. The operation time of above 31 patients was 50(35, 70) min (varied from 30 min to 110 min), and the amount of blood loss 50(21, 58) mL (ranged from 15 mL to 100 mL). Five patients were treated by the laparoscopic cornua uteri dissection and removing embryo or cornua uteri wedge resection and unilateral salpingectomy, because the majority of pregnant tissue was unable to be removed by uterine aspiration and hysteroscopic surgery. The operation time of 5 patients was (91±21) min (varied from 70 min to 130 min), and the amount of blood loss (94±56) mL (ranged from 40 mL to 200 mL). The level of serum hCG returned to the normal range in 2 months after surgery. Conclusions: The hysteroscopy combined with laparoscopy and ultrasound is a minimally invasive, safe and effective method in treating the non-ruptured and evagination type cornual pregnancy.

Key words: Cornual pregnancy, Pregnancy,ectopic, Hysteroscopy, Laparoscopy, Ultrasonography, Vacuum curettage