首页|高强度超声聚焦消融术在ⅡB型子宫瘢痕妊娠治疗中的疗效分析

高强度超声聚焦消融术在ⅡB型子宫瘢痕妊娠治疗中的疗效分析

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目的 探究高强度超声聚焦消融术在ⅡB型子宫瘢痕妊娠治疗中的疗效分析.方法 收集笔者医院 2019 年 1 月至2021 年 12 月期间ⅡB型剖宫产瘢痕部位妊娠患者 365 例,分为高强度超声聚焦消融术预处理的实验组(186 例)及未经处理的对照组(179 例),比较两组术中出血量、术后阴道流血时间、术后血人绒毛膜促性腺激素(human chorionic gonadotropin,HCG)下降率及手术成功率等指标.结果 实验组术中出血量、术后阴道流血时间均少于对照组(P<0.05),术后 1d血HCG下降率实验组高于对照组(P<0.05),两组间的手术成功率差异有统计学意义(P<0.05).两组的术后月经量差异无统计学意义(P>0.05),但对照组月经期延长,两组术后并发症的发病率差异无统计学意义.结论 高强度超声聚焦消融术可有效减少ⅡB型瘢痕妊娠患者术中出血量,减少腹腔镜等有创方式应用,可作为ⅡB型瘢痕妊娠的预处理方式推广.
Effect of high-intensity ultrasound focused ablation in the treatment of ⅡB cesarean scar pregnancy
Objective To explore the effect of high-intensity ultrasound focused ablation in the treatment of ⅡB cesarean scar Pregnancy.Methods A total of 365 patients in our hospital from January 2019 to December 2021 which were ⅡB Cesarean Scar Pregnancy were selected as the research objects.The research objects were divided into the experimental group pretreated by high-intensity ultrasound ablation(186 cases)and the control group without treatment(179 cases)to compare the levels of intraoperative blood loss,postoperative vaginal bleeding time,human chorionic gonadotropin(HCG)decline rate after the operation,success rate of operation and other indicators.Results The amount of intraoperative blood loss and postoperative vaginal bleeding time in the experimental group were less than those in the control group(P<0.05),and the decrease rate of blood HCG in the experimental group was higher than that in the control group(P<0.05).There was significant difference in the success rate of operation between the experimental group and the control group(P<0.05).There was no significant difference in menstrual volume between the experimental group and the control group(P>0.05),but the control group had prolonged menstruation,and the incidence of postoperative complications between the experimental group and the control group have no statistical significance.Conclusion High-intensity focused ultrasound ablation can effectively reduce intraoperative blood loss in patients of type ⅡB cesarean scar pregnancy,reduce the application of invasive methods such as laparoscopy,can be promoted as a pretreatment method for type ⅡB cesarean scar pregnancy.

Cesarean scar pregnancyHigh-intensity ultrasound focused ablationHysteroscopic surgy

郭欣、秦贞立、沈承承、徐延华、徐明玥

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济南市妇幼保健院妇科,山东济南 250002

子宫瘢痕妊娠 高强度超声聚焦消融术 宫腔镜手术

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(8)
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