CAJ | 학술논문

目的探讨子宫切口瘢痕妊娠的综合治疗疗效和安全性.方法回顾性分析广州市番禺区两家医疗单位收治的24例子宫切口瘢痕妊娠患者采用选择性双侧子宫动脉栓塞联合甲氨蝶呤灌注后72 h内行B超引导下清宫术的疗效.结果 24例患者均顺利进行双侧子宫动脉栓塞术后72 h内行B超引导下清宫术,全部患者清宫术出血少、均能清出绒毛组织,术后病理证实为妊娠囊,全部患者术后随访人绒毛膜促性腺激素(HCG)在7～21 d内下降至正常水平.结论子宫切口瘢痕妊娠的综合治疗是一种安全、疗效优良的方法.
목적 탐토자궁절구반흔임신적종합치료료효화안전성.방법 회고성분석엄주시번우구량가의료단위수치적24례자궁절구반흔임신환자채용선택성쌍측자궁동맥전새연합갑안접령관주후72 h내행B초인도하청궁술적료효.결과 24례환자균순리진행쌍측자궁동맥전새술후72 h내행B초인도하청궁술,전부환자청궁술출혈소、균능청출융모조직,술후병리증실위임신낭,전부환자술후수방인융모막촉성선격소(HCG)재7～21 d내하강지정상수평.결론 자궁절구반흔임신적종합치료시일충안전、료효우량적방법.
Objective To investigate the efficacy and safety of comprehensive treatment for cesarean scar pregnancy.Methods Twenty-four cases of cesarean scar pregnancy in two medical institutions were included.All patients underwent B-ultrasound guided uterine curettage in 72 hours after received selective bilateral uterine artery embolization combined with methotrexate (MTX) infusion.The efficacy and safety were retrospectively analysed.Results Twenty-four patients successfully completed selective bilateral uterine artery embolization combined with MTX infusion and received B-ultrasound guided uterine curettage.The blood loss of surgery was less and the chorion tissue was cleared in all patients,which pathologically confirmed as gestational sac.The HCG content of all patients was dropped tonormal levels in 7-21 days follow-up period.Conclusions The combined treatment of cesarean scar pregnancy is safe and effective.