CAJ | 학술논문

目的：探讨剖宫产瘢痕妊娠（CSP）的早期诊断及治疗方法。方法：收集我院2012年7月－2014年6月收治的14例CSP的临床资料，并对其进行回顾性分析。结果：14例患者均有不同程度的停经史，其中8例不规则阴道流血，3例有下腹痛，5例无典型症状。14例患者中，12例患者经阴道彩超明确诊断，误诊2例因贸然清宫术中及术后发生大出血而采用急诊子宫动脉栓塞术（UAE），6例采用药物治疗＋超声引导下清宫术，5例采用子宫动脉化疗栓塞术（UACE）＋超声引导下清宫，1例行经阴道瘢痕妊娠病灶切除术。结论：CSP早期症状无特异性，经阴道彩超检查为诊断的主要依据。治疗方法尚无统一标准，一旦确诊，应根据情况选择合适的治疗方式，均能取得良好效果。
목적：탐토부궁산반흔임신（CSP）적조기진단급치료방법。방법：수집아원2012년7월－2014년6월수치적14례CSP적림상자료，병대기진행회고성분석。결과：14례환자균유불동정도적정경사，기중8례불규칙음도류혈，3례유하복통，5례무전형증상。14례환자중，12례환자경음도채초명학진단，오진2례인무연청궁술중급술후발생대출혈이채용급진자궁동맥전새술（UAE），6례채용약물치료＋초성인도하청궁술，5례채용자궁동맥화료전새술（UACE）＋초성인도하청궁，1례행경음도반흔임신병조절제술。결론：CSP조기증상무특이성，경음도채초검사위진단적주요의거。치료방법상무통일표준，일단학진，응근거정황선택합괄적치료방식，균능취득량호효과。
Objective :To investigate the early diagnostic methods and appropriate treatment program of cesarean scar pregnancy(CSP) .Methods :The clinical data of 14 cases of CSP treated in our hospital from July 2012 to June 2014 were retrospectively analyzed .Results:The total 14 patients had history of suppressed menstruation ,among whom 8 presen‐ted with irregular vaginal bleeding ,3 complained of abdominal discomfort ,and another 5 had no typical symptoms .12 cases were diagnosed with CSP by color Doppler ultrasonography ,2 misdiagnosed patients were emergency treated by uterine artery embolization(UAE) ,who occurred massive bleeding in the intraoperative and postoperative .Of the 12 patients of CSP ,6 were treated by drug therapy plus ultrasound guided curettage ,5 by uterine artery chemoemboliza‐tion(UACE) plus ultrasound guided curettage ,1 by vaginal scar pregnancy lesion resection .Conclusion:Patients with CSP have no specific symptoms .Transvaginal color Doppler ultrasound examination is the main diagnosis .For CSP , there are no uniform treatment standards ,once CSP is diagnosed ,clinician should choose the appropriate treatment ac‐cording to the circumstances ,which can achieve good effects .