CAJ | 학술논문

目的:探讨剖宫产瘢痕妊娠(CSP)的诊断方法以及恰当的治疗方案.方法:对2007年1月至2011年12月华中科技大学同济医学院附属荆州医院及航空总医院收治的26例CSP临床资料进行回顾性分析.结果:彩色多普勒阴道超声(TVS)检查为诊断CSP的主要依据,妊娠病灶部位甲氨蝶呤(MTX)注射、子宫动脉栓塞(UAE)+MTX灌注是成功治疗CSP的关键,UAE+MTX灌注能迅速止血、快速杀胚,是最有效的治疗方法,药物治疗、UAE后清宫为CSP的主要术式,经腹或腹腔镜下病灶切除、射频自凝刀、全子宫切除是必要补充.结论:目前CSP治疗尚无统一标准,依据病情结合医院条件,制定个性化方案,能达到满意疗效.
목적:탐토부궁산반흔임신(CSP)적진단방법이급흡당적치료방안.방법:대2007년1월지2011년12월화중과기대학동제의학원부속형주의원급항공총의원수치적26례CSP림상자료진행회고성분석.결과:채색다보륵음도초성(TVS)검사위진단CSP적주요의거,임신병조부위갑안접령(MTX)주사、자궁동맥전새(UAE)+MTX관주시성공치료CSP적관건,UAE+MTX관주능신속지혈、쾌속살배,시최유효적치료방법,약물치료、UAE후청궁위CSP적주요술식,경복혹복강경하병조절제、사빈자응도、전자궁절제시필요보충.결론:목전CSP치료상무통일표준,의거병정결합의원조건,제정개성화방안,능체도만의료효.
@@@@Objective:To investigate the diagnostic methods and appropriate treatment program of cesarean scar pregnancy (CSP). Methods:From January 2007 to December 2011,the University of Science and Technology, Tongji Medical College, Jingzhou Hospital and Aviation General Hospital, 26 patients were treated CSP clinical data were retrospectively analyzed.Results:Color Doppler transvaginal sonography (TVS) is the main basis for the diagnosis of CSP. The injection of methotrexate (MTX) into the lesion site of pregnancy and uterine artery embolization (UAE)+MTX infusion is the key to successful treatment of CSP. UAE+methotrexate (MTX) uterine artery perfusion which can stop bleeding very soon and quickly kill the embryo, is the most effective treatment. Medication and uterine artery embolization (UAE) followed by curettage are the main surgical procedures of CSP. And there are some necessary complement treatments such as abdominal or laparoscopic excision, RF coagulation knife and hysterectomy. Conclusions:For CSP there are no uniform treatment standards. According to patient's condition as well as hospital facilities, satisfactory curative effects can be achieved based on individualized treatment scheme.