CAJ | 학술논문

目的：探讨剖宫产术后子宫疤痕妊娠的治疗方法.方法：回顾性分析我院2000~2012年收治的70例 CSP 患者.结果：CSP在药物治疗过程中，治疗成功率、血β-HCG 转阴天数、以及在超声监测下孕囊或者包块消失天数方面，局部用药、全身用药等各组之间比较无差异(P＞0．05).手术治疗过程中，在血β-HCG转阴天数以及在超声下孕囊或者包块消失天数方面比较，介入手术＋病灶切除组优于介入手术＋刮宫术组(P＜0．05)，病灶切除组优于介入手术＋刮宫术组(P＜0．05)，子宫全切术组优于介入手术＋刮宫术组(P＜0．05).在综合治疗过程中，在血β-HCG转阴天数以及在超声下孕囊或者包块消失天数方面比较，介入＋刮宫＋药物组优于药物＋刮宫治疗组(P＜0．05)，介入＋刮宫＋药物组显著优于介入＋药物治疗组(P＜0．01).结论：CSP 患者，超声检查为首选辅助检查，综合治疗是较为理想的治疗方案.
목적：탐토부궁산술후자궁파흔임신적치료방법.방법：회고성분석아원2000~2012년수치적70례 CSP 환자.결과：CSP재약물치료과정중，치료성공솔、혈β-HCG 전음천수、이급재초성감측하잉낭혹자포괴소실천수방면，국부용약、전신용약등각조지간비교무차이(P＞0．05).수술치료과정중，재혈β-HCG전음천수이급재초성하잉낭혹자포괴소실천수방면비교，개입수술＋병조절제조우우개입수술＋괄궁술조(P＜0．05)，병조절제조우우개입수술＋괄궁술조(P＜0．05)，자궁전절술조우우개입수술＋괄궁술조(P＜0．05).재종합치료과정중，재혈β-HCG전음천수이급재초성하잉낭혹자포괴소실천수방면비교，개입＋괄궁＋약물조우우약물＋괄궁치료조(P＜0．05)，개입＋괄궁＋약물조현저우우개입＋약물치료조(P＜0．01).결론：CSP 환자，초성검사위수선보조검사，종합치료시교위이상적치료방안.
Objective:To investigate the therapeutic method for cesarean scar pregnancy.Methods:The management process of 70 cases of the Cesarean scar pregnancy was retrospectively analyzed in our hospital from 2000 to 2012.Results:In the medical treatment process,Drug groups between the success rate 、bloodβ-HCG cloudy days and the gestational sac or mass disappearance days there are no difference to compare(P>0.05).In the process of operation treatment,Interventional operation + excision group is better than that of interventional operation + curettage group(P< 0.05),excision of focus group is better than that of inter-ventional operation + curettage group(P< 0.05),hysterectomy group is better than that of interventional operation + curettage group(P< 0.05)in the bloodβ-HCG cloudy days and the gestational sac or mass dis-appearance days.In the comprehensive treatment process,Intervention therapy + curettage + drug group is better than the drug + curettage in the treatment group(P< 0.05),interventional + curettage + drug group was significantly better than the intervention therapy and drug therapy group(P< 0.01)in the bloodβ-HCG cloudy days and the gestational sac or mass disappearance days.Conclusion:In CSP patients,sonog-raphy is the preferred auxiliary examination,comprehensive therapy is an ideal therapy scheme.