解放军医学院学报2017，Vol.38Issue(11)：1040-1042,1046,4.DOI:10.3969/j.issn.2095-5227.2017.11.011
高强度聚焦超声消融治疗剖宫产术后子宫瘢痕部位妊娠的疗效
High intensity focused ultrasound ablation in treatment of cesarean scar pregnancy
魏杏茹 1高艳华 1董巍巍 1严凤1
作者信息
- 1. 河北省保定市妇幼保健院妇产科,河北保定071000
- 折叠
摘要
Abstract
Objective To analyze the clinical efficacy of high intensity focused ultrasound ablation (HIFU) in the treatment of cesarean scar pregnancy (CSP) and explore its value in clinical practice.Methods Eighty-four CSP patients diagnosed and treated in our department from January 2014 to January 2017 were selected and randomly divided into two groups.Patients in observation group were treated with HIFU ablation,and the control group was treated with uterine artery embolization (UAE).The general data of cases in two groups were recorded and the clinical outcomes between two groups were compared.Results There was no significant difference between the two groups in age,gestational age,body mass index,number of caesarean section,gestational sac diameter,and clinical classification (P ＞ 0.05).The length of hospitalization and the average treatment cost of observation group were less than those of control group [(6.0 ± 1.5) d vs (8.9 ± 3.1) d,P ＜ 0.05;(8 839.5 ± 975.1) yuan vs (15 726.4 ± 1 834.7) yuan,P ＜ 0.05].The time of blood 3-HCG returned to the normal in the observation group was longer than that of the control group [(42.3 ± 16.2) d vs (28.7 ± 8.0) d,P ＜ 0.05].No significant difference was found in the incidence of complications [9 cases (21.4％) vs 13 cases (30.9％)] and the success rate of treatment [37 cases (88.1％) vs 41 cases (97.6％)] between the two groups.Conclusion HIFU ablation is safe and effective for the treatment of CSP with less costs and shorter hospital stay.关键词
瘢痕妊娠/剖宫产/高强度聚焦超声/介入栓塞Key words
scar pregnancy/cesarean section/high intensity focused ultrasound/uterine artery embolization分类
医药卫生引用本文复制引用
魏杏茹,高艳华,董巍巍,严凤..高强度聚焦超声消融治疗剖宫产术后子宫瘢痕部位妊娠的疗效[J].解放军医学院学报,2017,38(11):1040-1042,1046,4.
