CAJ | 학술논문

目的：分析剖宫产瘢痕妊娠并发大出血临床治疗的方法及其效果。方法资料随机选自2013年7月～2014年7月本院收治的剖宫产瘢痕妊娠并发大出血患者50例，综合分析患者的具体情况采用不同的手术方式，并分析疗效。结果甲氨蝶呤联合清宫术治疗患者12例，成功9例；采用清宫术治疗35例，成功6例；行切开子宫取胚术治疗3例，成功3例，术中出血量最少为甲氨蝶呤联合清宫术治疗。结论清宫术、甲氨蝶呤联合清宫术、切开子宫取胚术均为治疗剖宫产瘢痕妊娠并发大出血的有效手段，临床应依据患者实际选用合理方案，以有效减少患者出血量。
목적：분석부궁산반흔임신병발대출혈림상치료적방법급기효과。방법자료수궤선자2013년7월～2014년7월본원수치적부궁산반흔임신병발대출혈환자50례，종합분석환자적구체정황채용불동적수술방식，병분석료효。결과갑안접령연합청궁술치료환자12례，성공9례；채용청궁술치료35례，성공6례；행절개자궁취배술치료3례，성공3례，술중출혈량최소위갑안접령연합청궁술치료。결론청궁술、갑안접령연합청궁술、절개자궁취배술균위치료부궁산반흔임신병발대출혈적유효수단，림상응의거환자실제선용합리방안，이유효감소환자출혈량。
ObjectiveAnalysis of cesarean scar pregnancy complicated by bleeding clinical treatment methods and their effects.Methods Randomly selected data from July 2013 to July 2014 our hospital cesarean scar pregnancy complicated by bleeding in 50 patients, a comprehensive analysis of the speciifc circumstances of the patient using different surgical methods, and analysis results.ResultsCurettage methotrexate therapy in patients 12 cases, 9 cases of success, with curettage treatment of 35 cases, six cases of success, embryo treatment of uterine incision three cases, the success of three cases, blood loss, at least for methotrexate therapy combined with curettage.Conclusion Curettage, methotrexate curettage, uterine incision surgery embryo effective means of cesarean scar pregnancies are complicated by bleeding treatment, patients should be based on actual clinical reasonable selection of programs to effectively reduce the amount of bleeding patients.