Comparative research of HIFU and UAE pretreatment before operation for type Ⅱ cesarean scars pregnancy
Objective To evaluate the effectiveness and safety of high intensity focused ultrasound(HIFU)or uterine artery embolization(UAE)pretreatment before hysteroscopy in patients with type Ⅱ cesarean scars pregnancy(CSP).Methods A retrospective cohort research was conducted,and a total of 55 patients with type Ⅱ CSP admitted to the People's Hospital of Qingyuan City from July 2019 to December 2020 were selected and divided into the observation group(n=24)and the control group(n=31).The observation group was treated with HIFU before hysteroscopy,while the control group was treated with UAE before hysteroscopy.The intraoperative risks,postoperative adverse reactions(ADRs)and postoperative menstrual regain were compared between the two groups of patients.Results There were no massive hemorrhage,uterine perforation,water intoxication and tissue residue in both groups,and there were no statistically significant differences in operation time and hemorrhage volume(P>0.05).The incidences of postoperative pain and fever in the observation group were significantly lower than those in the control group,without statistically significant differences(P>0.05).The three consecutive menstrual volume and mid-menstrual endometrial thickness in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).Conclusion For patients with type Ⅱ CSP,pretreatment with HIFU or UAE before hysteroscopy is safe and effective.Compared with the UAE,the combination of HIFU and hysteroscopy has less damage to the endometrium and less possibility of impacting fertility function,so it is more suitable for patients with fertility requirements.
万方数据
维普
