CAJ | 학술논문

目的探讨剖宫产瘢痕妊娠(CSP)的临床特点及对不同临床类型的治疗效果进行回顾性分析.方法选取来我院接受剖宫产瘢痕妊娠治疗的患者79名,其中39名患者为外生型CSP,40名患者为内生型CSP,对所有患者的临床特点进行比较分析,并对相同手术方式对不同类型CSP的治疗效果进行分析研究,并将分析结果使用SPSS统计学软件进行统计学处理.结果①接受宫腔镜治疗的患者中,外生型CSP患者的术中出血量、手术时间及住院天数均明显多于内生型患者,P<0.05;②接受清宫术治疗的患者中,外生型CSP患者的术中出血量及手术时间明显多于内生型患者,P<0.05.结论通过对剖宫产瘢痕妊娠的临床特点进行分析研究,对于该病的诊断及最佳治疗方式的选择具有着重要的临床治疗意义.
목적탐토부궁산반흔임신(CSP)적림상특점급대불동림상류형적치료효과진행회고성분석.방법선취래아원접수부궁산반흔임신치료적환자79명,기중39명환자위외생형CSP,40명환자위내생형CSP,대소유환자적림상특점진행비교분석,병대상동수술방식대불동류형CSP적치료효과진행분석연구,병장분석결과사용SPSS통계학연건진행통계학처리.결과①접수궁강경치료적환자중,외생형CSP환자적술중출혈량、수술시간급주원천수균명현다우내생형환자,P<0.05;②접수청궁술치료적환자중,외생형CSP환자적술중출혈량급수술시간명현다우내생형환자,P<0.05.결론통과대부궁산반흔임신적림상특점진행분석연구,대우해병적진단급최가치료방식적선택구유착중요적림상치료의의.
Objective To observe the clinical characteristics of cesarean scar pregnancy(CSP), and to discuss how to choose the therapy according to its type. Methods The clinical characteristics of 79 patients dignosed as cesarean scar pregnancy and treated in our Hospital were retrospectively analyzed. The clinical features of CSP were summerized and differences were compared in outcomes between endogeous and exogeous CSP managed by the same treatment. Results ① Hysteroscopy was signifcantly superior for endogeous type than for exogenous type in blood loss, operative time, and postoperative hospital stay, P<0.05; ②Curettage was better for endogenous type than exogenous type in operative time and blood loss, P<0.05. Conclusion It is important for the diagnosis and the best treatment of the cesarean scar pregnancy that observing the clinical characteristics of cesarean scar pregnancy.