CAJ | 학술논문

目的：探讨米非司酮+氨甲蝶呤联合中药在剖宫产瘢痕部位早期妊娠（CSP）保守治疗中的可行性及临床效果。方法：回顾分析2008年3月-2012年7月本院收治的15例CSP患者临床资料，应用米非司酮+氨甲喋呤联合中药保守治疗，根据血hCG情况酌情选择B超监测下清宫术。结果：14例患者保守治疗成功，l例患者经手术切除妊娠组织。结论：米非司酮+氨甲喋呤联合中药对CSP的保守治疗是安全、有效、可行的。
목적：탐토미비사동+안갑접령연합중약재부궁산반흔부위조기임신（CSP）보수치료중적가행성급림상효과。방법：회고분석2008년3월-2012년7월본원수치적15례CSP환자림상자료，응용미비사동+안갑첩령연합중약보수치료，근거혈hCG정황작정선택B초감측하청궁술。결과：14례환자보수치료성공，l례환자경수술절제임신조직。결론：미비사동+안갑첩령연합중약대CSP적보수치료시안전、유효、가행적。
Objective:To explore the feasibility and clinical effects of the conservative treatments for early cesarean scar pregnancy with mifepristone and methotrexate combined with traditional Chinese medicine. Method:Retrospectively analyzed the clinical datas of 15 patients of early cesarean scar pregnancy in our hospital from March 2008 to July 2012,conservative treatment with mifepristone and methotrexate combined with traditional Chinese medicine,choosed B ultrasound monitoring curettage according to the blood hCG discretionary. Result:14 cases of patients with conservative treatment success,l patients after surgical removal of the pregnancy tissue. Conclusion:Conservative treatments of early cesarean scar pregnancy with mifepristone and methotrexate combined with traditional Chinese medicine is effective,safe and feasible.