CAJ | 학술논문

目的：：探讨经阴道子宫瘢痕部位妊娠病灶切除及子宫修补术治疗子宫瘢痕妊娠( CSP)的临床疗效。方法：回顾分析2012年1月至2014年1月我院收治的52例经阴道子宫瘢痕部位妊娠病灶切除及子宫修补术治疗CSP患者的临床资料。结果：除1例患者因子宫与前腹壁粘连紧密改开腹手术外,其余患者手术均顺利。平均手术时间39.8 min,平均术中出血量85.2ml；术后血β-HCG水平下降率平均为86.8％；平均住院时间8 .2天；平均住院费用9093.4元。结论：经阴道子宫瘢痕部位妊娠物清除及子宫修补术治疗CSP具有安全、有效、微创、经济的优点,值得临床推广。
목적：：탐토경음도자궁반흔부위임신병조절제급자궁수보술치료자궁반흔임신( CSP)적림상료효。방법：회고분석2012년1월지2014년1월아원수치적52례경음도자궁반흔부위임신병조절제급자궁수보술치료CSP환자적림상자료。결과：제1례환자인자궁여전복벽점련긴밀개개복수술외,기여환자수술균순리。평균수술시간39.8 min,평균술중출혈량85.2ml；술후혈β-HCG수평하강솔평균위86.8％；평균주원시간8 .2천；평균주원비용9093.4원。결론：경음도자궁반흔부위임신물청제급자궁수보술치료CSP구유안전、유효、미창、경제적우점,치득림상추엄。
Objective:To study the clinical effects of transvaginal debridement and re-pair of uterine defect for cesarean scar pregnancy(CSP). Methods:A retrospective analysis of 52 patients who were treated by transvaginal debridement and repair of uterine defect from Jan. 2012 to Jan. 2014. Results:51 patients were operated successfully,and one patient converted into open surgery because the uterus adhered tightly to the anterior abdominal wall. Mean opera-tion time:39 . 8 min;Mean amount of operation bleeding:85 . 2 ml;Mean drop of blood β-HCG levels:86. 8%;Mean hospital stay:8. 2d;Mean hospital expense:9093. 4 Yuan. Conclusion:The transvaginal debridement and repair of uterine defect for Cesarean Scar Pregnancy is safe, effetive,minimally invasive and economical for patients with CSP. And it is worthy of clinical promotion.