CAJ | 학술논문

目的通过对瘢痕妊娠治疗结果的分析,呼吁全社会对瘢痕妊娠的重视.方法回顾性分析武汉协和医院妇产科2009年1月至2012年12月剖宫产后瘢痕妊娠的发生、治疗、平均住院时间和平均住院费用变化.结果 2009、2010、2011、2012年本院收治瘢痕妊娠患者分别为10、19、29、46例,占同期妇科住院患者总数的0.33％,0.63％,0.97％,1.53％.双侧子宫动脉栓塞术+清宫术是治疗瘢痕妊娠的有效方式.本院瘢痕妊娠平均输血率为25％,住院时间(14 ±8)d,住院费用(12 954.97±3 888.89)元.结论我国瘢痕妊娠的发病率在急剧上升.尽管目前的治疗方法能最大程度降低瘢痕妊娠的并发症,但瘢痕妊娠给妇女带来的伤害和给社会和家庭带来的负担仍不容忽视.降低剖宫产率、加强育龄妇女剖宫产术后避孕宣教是降低瘢痕妊娠发生的关键.
목적 통과대반흔임신치료결과적분석,호우전사회대반흔임신적중시.방법 회고성분석무한협화의원부산과2009년1월지2012년12월부궁산후반흔임신적발생、치료、평균주원시간화평균주원비용변화.결과 2009、2010、2011、2012년본원수치반흔임신환자분별위10、19、29、46례,점동기부과주원환자총수적0.33％,0.63％,0.97％,1.53％.쌍측자궁동맥전새술+청궁술시치료반흔임신적유효방식.본원반흔임신평균수혈솔위25％,주원시간(14 ±8)d,주원비용(12 954.97±3 888.89)원.결론 아국반흔임신적발병솔재급극상승.진관목전적치료방법능최대정도강저반흔임신적병발증,단반흔임신급부녀대래적상해화급사회화가정대래적부담잉불용홀시.강저부궁산솔、가강육령부녀부궁산술후피잉선교시강저반흔임신발생적관건.
Objective To remind the attention to contraceptive in cesarean section group by analyzing the treatment of 104 cases cesarean scar pregnancy (CSP).Methods From April 2009 to November 2012,104 patients with CSP treated in Department of Obstetrics and Gynecology,Wuhan Union Hospital were studied retrospectively.The incidence,treatment,and average in hospital days and average cost of hospitalization were analyzed.Results From 2009 to 2012,the number of CSP was 10,19,29,and 46 cases annually which accounted for the proportion of the corresponding period of gynecological patients were 0.33％,0.63％,0.97％,and 1.53％.Bilateral uterine artery embolization plus curettage was the most effective treatment.The average transfusion rate was 25％.The average amount of in-hospital days were (14 ± 8) days,the average cost of hospitalization were (12954.97 ± 3888.89) yuan.Conclusions The CSP incidence was increasing sharply in China.Although the current treatment methods could greatly reduce complications of CSP,it did harm to the patients and their family.The key to reduce the occurrence of CSP included reducing the rate of cesarean section,and strengthening contraceptive education after cesarean section.