CAJ | 학술논문

目的：探讨剖宫产切口瘢痕妊娠（CSP）的不同治疗方法。方法：80例CSP患者按照随机数字表法分为观察组和对照组各40例，观察组采用甲氨蝶呤（MTX）双侧子宫动脉灌注+双侧子宫动脉栓塞+清宫术；对照组采用肌肉注射MTX+清宫术，比较两组患者的治疗效果和重大并发症发生率。结果：观察组清宫术时出血量和子宫切口瘢痕血流指数均明显小于对照组，比较差异均有统计学意义（P<0.01）；观察组的住院时间和转经时间均明显短于对照组，比较差异均有统计学意义（P<0.05）；观察组重大并发症发生率明显低于对照组，差异有统计学意义（P<0.01）。结论：MTX双侧子宫动脉灌注+双侧子宫动脉栓塞+清宫术介入治疗CSP临床效果显著。
목적：탐토부궁산절구반흔임신（CSP）적불동치료방법。방법：80례CSP환자안조수궤수자표법분위관찰조화대조조각40례，관찰조채용갑안접령（MTX）쌍측자궁동맥관주+쌍측자궁동맥전새+청궁술；대조조채용기육주사MTX+청궁술，비교량조환자적치료효과화중대병발증발생솔。결과：관찰조청궁술시출혈량화자궁절구반흔혈류지수균명현소우대조조，비교차이균유통계학의의（P<0.01）；관찰조적주원시간화전경시간균명현단우대조조，비교차이균유통계학의의（P<0.05）；관찰조중대병발증발생솔명현저우대조조，차이유통계학의의（P<0.01）。결론：MTX쌍측자궁동맥관주+쌍측자궁동맥전새+청궁술개입치료CSP림상효과현저。
Objective:To explore the cesarean section incision scar pregnancy(CSP)of different treatment methods.Method:Eighty patients with CSP were randomly divided into the observation group and the control group,40 cases in each group.The observation group was treated with methotrexate(MTX)bilateral uterine artery perfusion+bilateral uterine artery embolization and curettage cavity;The control group was treated with intramuscular injection MTX+and curettage.The therapeutic effect of two groups and the incidence of major complications were compared.Result:The amount of bleeding and uterine incision scar arteries blood flow index in curettage of observation group were significantly less than the control group, the differences were statistically significant(P<0.01);Time after time and hospitalization in the observation group were lower than the control group, the differences were statistically significant(P<0.05);the observation group of major complications was significantly less than the control group,the difference was statistically significant(P<0.01).Conclusion:MTX bilateral uterine artery perfusion+bilateral uterine artery embolization and curettage in significant clinical effect on CSP.