CAJ | 학술논문

目的：探讨经阴道手术治疗剖宫产术后子宫瘢痕妊娠(CSP)的临床效果。方法选择该院妇科接受阴式手术治疗子宫瘢痕妊娠的10例患者，按照超声检查结果和手术中发现的实际病情，选择不同的治疗方式，并分为A、B、C3组，并将A、B、C3组的术中出血量、操作时间和术后恢复hGG的时间和并发症情况进行比较。结果3种手术方式都一次性成功，①在平均出血量方面，C组明显多于A、B两组，差异有统计学意义(P<0.05)，术中出血量三足之间没有明显差异；②A、B、C3组患者的手术时间、医院治疗时间、术后的hGG恢复情况，差异无统计学意义(P>0.05)；③A、B、C组患者没有膀胱损伤，也没有并发症。结论经阴道手术治疗CSP，治疗效果明确，操作方法便捷，子宫可以完整保留，手术操作安全经济。
목적：탐토경음도수술치료부궁산술후자궁반흔임신(CSP)적림상효과。방법선택해원부과접수음식수술치료자궁반흔임신적10례환자，안조초성검사결과화수술중발현적실제병정，선택불동적치료방식，병분위A、B、C3조，병장A、B、C3조적술중출혈량、조작시간화술후회복hGG적시간화병발증정황진행비교。결과3충수술방식도일차성성공，①재평균출혈량방면，C조명현다우A、B량조，차이유통계학의의(P<0.05)，술중출혈량삼족지간몰유명현차이；②A、B、C3조환자적수술시간、의원치료시간、술후적hGG회복정황，차이무통계학의의(P>0.05)；③A、B、C조환자몰유방광손상，야몰유병발증。결론경음도수술치료CSP，치료효과명학，조작방법편첩，자궁가이완정보류，수술조작안전경제。
Objective To investigate the clinical effect of transvaginal surgery in the treatment of cesarean scar pregnancy (CSP). Methods 10 cases of patients with cesarean scar pregnancy underwent transvaginal surgery in Department of Gynecology of our hospital were divided into group A, group B, and group C and given different treatment method in accordance with the ultrasound results and the actual conditions found during surgery. The intraoperative blood loss, operation time and postoperative recovery hGG time and complications between group A, group B, and group C were compared. Results All the three surgical methods were successful:①the average amount of bleeding of group C was much more than that of group A and group B, with statistical significance (P<0.05), but there was no statistically significant difference between the three groups in intraoperative blood loss ; ② there were no statistically significant differences between group A, group B and group C in operative time, hospital treatment time, postoperative hGG recovery (P>0.05);③no bladder injury and complications occurred in the patients of group A, group B and group C. Conclusion For the treatment of CSP, transvaginal surgery is quite effective and easy to operate, which can retain the integrity of the uterus, and the operation is safe and economical.