CAJ | 학술논문

目的探讨剖宫产术后瘢痕妊娠(CSP)的临床诊断和治疗.方法及结果回顾性分析2006年6月至2008年12月收治的剖宫产术后瘢痕妊娠共21例患者的临床资料,其中药物治疗16例(3例药物治疗失败改手术治疗),治疗成功率81.3%.3例自动出院转院外介入治疗,期待疗法1例,单纯B超下刮宫1例.结论药物治疗可以有效终止剖宫产术后瘢痕处妊娠,但潜在有大出血、子宫破裂的风险;彩超尤其是阴道彩色超声是诊断CSP的主要手段,对判断预后和观察治疗效果有帮助.
목적 탐토부궁산술후반흔임신(CSP)적림상진단화치료.방법 급결과 회고성분석2006년6월지2008년12월수치적부궁산술후반흔임신공21례환자적림상자료,기중약물치료16례(3례약물치료실패개수술치료),치료성공솔81.3%.3례자동출원전원외개입치료,기대요법1례,단순B초하괄궁1례.결론 약물치료가이유효종지부궁산술후반흔처임신,단잠재유대출혈、자궁파렬적풍험;채초우기시음도채색초성시진단CSP적주요수단,대판단예후화관찰치료효과유방조.
Objective To study the clinical diagnosis and therapy of scar pregnancy after uterine cesarean section.Methods Clinical data of 21 patients with uterine cesarean section in our hospital from June 2006 to December 2008 were retrospectively analyzed.Results The success rate of 16 cases by drug therapy (including three cases of surgical treatment) was 81.3%;3 cases of auto-discharge transferred to other hospitals to do intervention,1 case used expectant treatment,1 case used complete curettage of uterine cavity under B-Ultrasound.Conclusion Drug treatment can terminated scar pregnancy after uterine cesarean section effectively,but there is a potential risk of massive hemorrhage or uterine rupture;color doppler ultrasound,especially Transvaginal color doppler ultrasound was the primary means of cesarean section,and benefit to judge prognostic factors and observed treatment.