CAJ | 학술논문

目的：分析和探讨甲氛蝶吟配伍米非司酮治疗术后子宫瘢痕部妊娠的临床效果。方法选取湖南省郴州市中医院2011年1月～2013年4月接收的18例剖宫产术后子宫瘢痕部妊娠患者作为研究对象，随机均分为实验组和对照组（n=9），实验组采用甲氨蝶呤配伍米非司酮辅助进行治疗，对照组单用甲氨蝶呤进行治疗。结果实验组中患者的治疗效果显著优于对照组，其中实验组9例患者中有8例（88.89%）治疗效果比较显著，仅有1例（11.11%）未达到预想的治疗效果。对照组中有6例（66.67%）治疗效果比较显著，有3例（33.33%）未达到预想的治疗效果，2组均无严重不良反应事件。结论甲氨蝶吟配伍米非司酮在治疗剖宫产术后子宫瘢痕部妊娠具有良好的效果，可以在临床上进行推广。
목적：분석화탐토갑분접음배오미비사동치료술후자궁반흔부임신적림상효과。방법선취호남성침주시중의원2011년1월～2013년4월접수적18례부궁산술후자궁반흔부임신환자작위연구대상，수궤균분위실험조화대조조（n=9），실험조채용갑안접령배오미비사동보조진행치료，대조조단용갑안접령진행치료。결과실험조중환자적치료효과현저우우대조조，기중실험조9례환자중유8례（88.89%）치료효과비교현저，부유1례（11.11%）미체도예상적치료효과。대조조중유6례（66.67%）치료효과비교현저，유3례（33.33%）미체도예상적치료효과，2조균무엄중불량반응사건。결론갑안접음배오미비사동재치료부궁산술후자궁반흔부임신구유량호적효과，가이재림상상진행추엄。
Objective To analyze and investigate the clinical effect of atmosphere pterin combined with mifepristone in treatment of postoperative uterine scar pregnancy. Methods Took the 18 cases of cesarean scar pregnancy patients treated in Chenzhou city of Hunan province hospital from January 2011 to April 2013 as the research object, and were randomLy divided into experimental group and control group(n=9), the experimental group were treated by using methotrexate combined with mifepristone in auxiliary treatment, the control group were treated only with methotrexate. Results The efficacy of the patients in experimental group was better than that of the control group, and the side effect is small. Conclusion Methotrexate combined with mifepristone in the treatment of cesarean scar pregnancy has good effect, can be applied in clinic.