CAJ | 학술논문

目的：探讨剖宫产子宫瘢痕部妊娠发病的相关因素，为其预防提供理论依据。方法回顾性分析53例剖宫产瘢痕部妊娠患者临床资料，并随机选取同期53例疤痕子宫、宫内早孕患者作对照。结果53例CSP患者人工流产≥2次38例（71.7%），剖宫产≥2次16例（30.2%），单层缝合方式30例（56.6%），距前次剖宫产时间≤5年37例（69.8%），各因素比率明显高于对照组，差异有统计学意义（P＜0.05）。结论人工流产史、多次剖宫产史、剖宫产子宫切口缝合方式、距前次剖宫产时间≤5年是CSP发病的相关因素，应严格掌握剖宫产指征，提高子宫切口缝合技术，加强宣传避孕知识，减少人流术。
목적：탐토부궁산자궁반흔부임신발병적상관인소，위기예방제공이론의거。방법회고성분석53례부궁산반흔부임신환자림상자료，병수궤선취동기53례파흔자궁、궁내조잉환자작대조。결과53례CSP환자인공유산≥2차38례（71.7%），부궁산≥2차16례（30.2%），단층봉합방식30례（56.6%），거전차부궁산시간≤5년37례（69.8%），각인소비솔명현고우대조조，차이유통계학의의（P＜0.05）。결론인공유산사、다차부궁산사、부궁산자궁절구봉합방식、거전차부궁산시간≤5년시CSP발병적상관인소，응엄격장악부궁산지정，제고자궁절구봉합기술，가강선전피잉지식，감소인류술。
Objective To research into the relative factors of caesarean scar pregnancy, and provide the theory basis for the prevention of caesarean scar pregnancy. Methods The clinical data of 53 cases of caesarean scar pregnancy patients was retrospectively analyzed and 53 cases of uterine scar and pregnancy patients were selected as control. Results In 53 cases of CSP patients,there were 38 cases (71.7%) artiifcial abortion ≥2 times , there were 16 cases (30.2%) cesarean section≥2 times , there were 30 cases (56.6%) of single layer suture, and from a previous cesarean section period 37 cases (69.8%) were not more than 5 years. The rate of these factors was signiifcantly higher than the control group, and the difference was statistically signiifcant (P<0.05). Conclusion The history of artiifcial abortion, history of cesarean section, uterine incision suture, from the previous cesarean section time≤5 years are relevant factors in the pathogenesis of CSP. So we should strictly control the indications for cesarean section, improve the uterine incision suture technique, strengthen the propaganda of contraception knowledge, and reduce the artiifcial abortion.