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高强度聚焦超声治疗剖宫产瘢痕妊娠的临床价值

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目的 分析高强度聚焦超声治疗剖宫产瘢痕妊娠的临床价值。方法 选取40例剖宫产瘢痕妊娠患者,根据随机数字表法分为研究组和对照组,各20例。对照组采取子宫动脉栓塞术治疗,研究组采取高强度聚焦超声治疗。对比两组临床指标、β-人绒毛膜促性腺激素(β-HCG)转阴情况、并发症和术后疼痛评分及治疗成功率。结果 两组的术中出血量、β-HCG降至正常时间、平均住院费用、住院时间、并发症发生率、治疗成功率、2周、4周的β-HCG转阴率及术后36h疼痛评分对比,差异无统计学意义(P>0。05);研究组术后12 h、24 h疼痛评分明显低于对照组(P<0。05)。结论 高强度聚焦超声治疗剖宫产瘢痕妊娠患者,具有较高的治疗价值,安全性较好,值得临床应用。
Clinical value of high intensity focused ultrasound in treating cicatricial pregnancy after cesarean section
Objective To analyze the clinical value of high-intensity focused ultrasound in the treatment of caesarean section scar pregnancy.Methods 40 patients with caesarean section scar pregnancy were selected and divided into study group and control group according to random number table method,with 20 cases each.The control group was treated with uterine artery embolization,and the study group was treated with high intensity focused ultrasound.Clinical indexes,β-HCG(human chorionic gonadotropin)negative conversion,complications,postoperative pain score and treatment success rate were compared between the two groups.Results Intraoperative blood loss,β-H CG decreased to normal time,average hospital cost,length of hospital stay,complication rate,treatment success rate,β-HCG negative conversion rate at 2 weeks and 4 weeks,and pain score at 36 hours after surgery were not statistically significant between the two groups(P>0.05).The pain scores of the study group at 12 h and 24 h after operation were significantly lower than those of the control group(P<0.05).Conclusion High intensity focused ultrasound has high therapeutic value and good safety in the treatment of caesarean section cicatricial pregnancy,and is worthy of clinical application.

High intensity focused ultrasoundCaesarean section scar pregnancyUterine artery embolizationComplication

吴海燕、刘永珠、朱伟艳、张欣宁、彭奕琼

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广州医科大学附属清远医院(清远市人民医院)妇产科,广东 清远 511518

高强度聚焦超声 剖宫产瘢痕妊娠 子宫动脉栓塞术 并发症

广东省医学科学技术研究基金项目

B2019250

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(16)