CAJ | 학술논문

目的：探讨子宫动脉栓塞术在剖宫产后子宫切口妊娠中的应用价值。方法对2005年1月至2013年6月我院收治的104例子宫切口妊娠患者进行回顾性分析，将其分为直接清宫组和介入后清宫组：直接清宫组甲氨蝶呤肌注后行清宫术，介入后清宫组甲氨蝶呤子宫动脉灌注、双侧子宫动脉栓塞术后行清宫术。结果两组患者清宫时的出血量、手术时间、术后血红蛋白、宫内残留发生率、子宫切除率和平均住院日等进行比较，差异有显著性，介入后清宫组的疗效明显高于直接清宫组。结论双侧子宫动脉栓塞术治疗子宫切口妊娠，疗效显著，能有效控制和减少出血，保留患者子宫，值得广泛应用。
목적：탐토자궁동맥전새술재부궁산후자궁절구임신중적응용개치。방법대2005년1월지2013년6월아원수치적104례자궁절구임신환자진행회고성분석，장기분위직접청궁조화개입후청궁조：직접청궁조갑안접령기주후행청궁술，개입후청궁조갑안접령자궁동맥관주、쌍측자궁동맥전새술후행청궁술。결과량조환자청궁시적출혈량、수술시간、술후혈홍단백、궁내잔류발생솔、자궁절제솔화평균주원일등진행비교，차이유현저성，개입후청궁조적료효명현고우직접청궁조。결론쌍측자궁동맥전새술치료자궁절구임신，료효현저，능유효공제화감소출혈，보류환자자궁，치득엄범응용。
Objective: To investigate the efficacy of bilateral uterine artery embolization for the treatment of caesarean scar pregnancy (CSP). Methods: There were 104 patients with caesarean scar pregnancy. They were divided into two groups in random. One group was received uterine curettage after uterine artery embolization (UAE) combined with intra-arterial methotrexate (MTX ) infusion,the other was received uterine curettage after intramuscular MTX. The clinical information on these patients were reviewed. Results:Hemorrhage and time of operation , hemoglobin after curettage, incidence rate of remain and hysterectomia, length of hospital stay were analyzed in two groups. The difference was significantly seen between two groups. Conclusions: Uterine artery embolization seems to be an effective treatment for CSP and should be considered as a good treatment.