CAJ | 학술논문

目的讨论患者在剖宫产术后子宫瘢痕妊娠的临床疗效,并作出相应的分析.方法选取2013年2月~2014年2月前来接受治疗的剖宫产术后子宫瘢痕妊娠的患者作为主要的研究对象,共100例.将这些患者进行随机分组,单纯药物治疗组50例与手术治疗组50例.其中,单纯药物治疗组采用甲氨蝶呤结合米非司酮治疗.而手术治疗组则是在注射甲氨蝶呤的基础上采用动脉化疗栓塞术进行治疗,比较两组治疗的效果.结果根据研究结果显示,单纯药物治疗组中患者治愈的人数有41例,占82%,手术治疗组中患者的治愈例数为48例,占96%.手术治疗组患者经过治疗后明显有较大的改善,且与单纯注射药物治疗相比,其效果更加显著(P < 0.05).结论:对子宫瘢痕妊娠患者采用动脉化疗栓塞术进行治疗,其临床效果显著,值得在临床上推广与使用.
목적 토론환자재부궁산술후자궁반흔임신적림상료효,병작출상응적분석.방법 선취2013년2월~2014년2월전래접수치료적부궁산술후자궁반흔임신적환자작위주요적연구대상,공100례.장저사환자진행수궤분조,단순약물치료조50례여수술치료조50례.기중,단순약물치료조채용갑안접령결합미비사동치료.이수술치료조칙시재주사갑안접령적기출상채용동맥화료전새술진행치료,비교량조치료적효과.결과 근거연구결과현시,단순약물치료조중환자치유적인수유41례,점82%,수술치료조중환자적치유례수위48례,점96%.수술치료조환자경과치료후명현유교대적개선,차여단순주사약물치료상비,기효과경가현저(P < 0.05).결론:대자궁반흔임신환자채용동맥화료전새술진행치료,기림상효과현저,치득재림상상추엄여사용.
Objective To discuss the patients in the clinical efficacy of uterine scar pregnancy after cesarean section,and make corresponding analysis.Methods Select in February 2013-February 2014 to come to the treatment of uterine cesarean section scar pregnancy patients as the main object of study,a total of 100 cases.These patients were randomized, simple drug treatment group(50 cases of 50 cases with surgical treatment.Among them,the pure drug therapy group was treated with methotrexate combined with mifepristone.And surgery treatment group is on the basis of the injection of methotrexate with arterial chemoembolization treatment,compared two groups of treatment effect. Results According to the research Results show that the simple drug treatment group in the number of patients cured in 41 cases,accounted for 82%,surgery in the treatment group patients cured cases in 48 cases, accounting for 96%.Patients with surgical treatment group after treatment significantly improved the larger,and compared with the pure injection drug treatment, its effect is more significant(P < 0.05).Conclusion Using arterial chemoembolization in patients with uterine scar pregnancy treatment, the clinical effect is remarkable, is worth in clinical promotion and use.