Abstract：Objective To explore the curative effect of transvaginal hysteroscopic surgery on tubal pregnancy.Methods A total of 68 patients with tubal pregnancy were assigned to receive either transvaginal hysteroscopic surgery(study group,n=36) or laparoscopic surgery(control group,n=32).Intraoperative blood loss,operative time,postoperative morbidity,pain,anal exhaust time,length of hospital stay,hospital costs and decrease in blood HCG levels were recorded in both groups.In addition,vaginal surgical wound healing was observed in study group 1 month after operation.Results All patients successfully underwent operation and no cases were converted to open surgery.In study group,partial resection of ipsilateral tubal was performed in 26 patients and conservative surgery in 10.In control group,partial resection of ipsilateral tubal was performed in 22 patients and conservative surgery in 10.There were significant differences in postoperative pain(0-Ⅰ grade),anal exhaust time,postoperative morbidity and hospital costs between the two 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 Transvaginal hysteroscopic surgery is effective,safe and minimally invasive for heterotopic pregnancy.
2012, Vol. 52 
