CAJ | 학술논문

目的探讨剖宫产术后子宫瘢痕处妊娠的临床治疗方法。方法回顾性分析10例剖宫产术后子宫瘢痕处妊娠的临床病例资料。结果所有患者先前均行剖宫产及有停经史，其血人绒毛膜促性腺激素(HCG)水平升高。10例患者经有效治疗后，其血HCG均减少至正常水平，顺利控制出血，术后1~2个月患者行彩超检查，结果提示宫内回声正常；同时月经也恢复正常。所有患者均痊愈出院，子宫均保留。结论剖宫产术后子宫瘢痕处妊娠治疗较易引发出血，经有效治疗后，患者血HCG水平降低，出血减少，且生育功能均保留。
목적탐토부궁산술후자궁반흔처임신적림상치료방법。방법회고성분석10례부궁산술후자궁반흔처임신적림상병례자료。결과소유환자선전균행부궁산급유정경사，기혈인융모막촉성선격소(HCG)수평승고。10례환자경유효치료후，기혈HCG균감소지정상수평，순리공제출혈，술후1~2개월환자행채초검사，결과제시궁내회성정상；동시월경야회복정상。소유환자균전유출원，자궁균보류。결론부궁산술후자궁반흔처임신치료교역인발출혈，경유효치료후，환자혈HCG수평강저，출혈감소，차생육공능균보류。
Objective To investigate the clinical treatment of cesarean scar pregnancy. Methods Retrospectively analyzed clinical data of 10 cases of cesarean scar pregnancy, discussed the clinical treatment of cesarean scar pregnancy. Results All patients underwent cesarean section and history of menopause before, blood human chorionic gonadotropin(HCG) levels increased. After effective treatment for 10 patients, the serum HCG were reduced to normal levels, bleeding was successfully controlled, performed color ultrasound examination postoperative 1~2 month, results suggested that intrauterine echo was normal;while menstruation returned to normal. All patients were discharged, the uterus were reserved. Conclusion Treatment of cesarean scar pregnancy has a higher risk of bleeding, after effective treatment, serum HCG levels and bleeding are reduce, and reproductive functions are retained.