中国实用妇科与产科杂志2018，Vol.34Issue(5)：563-565,3.DOI:10.19538/j.fk2018050121
高强度聚焦超声联合负压吸宫术治疗剖宫产瘢痕妊娠的临床研究
Clinical study of high-intensity focused ultrasound combined with suction curettage in the treatment of cesarean scar pregnancy
朱小刚 1邓新粮 1薛敏1
作者信息
- 1. 中南大学湘雅三医院妇产科,湖南 长沙 410013
- 折叠
摘要
Abstract
Objective To investigate the safety and efficacy of high-intensity focused ultrasound(HIFU)combined with suction curettage under hysteroscopic guidance for cesarean scar pregnancy(CSP)and to analyze the influencing factors of vaginal bleeding and readmission.Methods From January 2014 to September 2017 in the Third Xiangya Hospital of Central South University,367 patients with cesarean scar pregnancy were treated by HIFU combined with suction curettage under hysteroscopic guidance.All the patients received one session of HIFU ablation. Their clinical data were analyzed and the treatment effect and safety were observed.Results After HIFU treatment,the fetal cardiac activity disappeared and the blood flow around the sac was significantly decreased. The median volume of blood loss in the suction curettage was 20(range 5～600)mL.The volume of vaginal bleeding is related to the largest diameter of the sac,and the risk of large vaginal bleeding of patients was increased with larger diameter of the sac(P=0.015). The risk of readmission is related to the volume of vaginal bleeding,the risk of readmission of patients was increased with larger vaginal bleeding (P=0.000).No serious complication was observed.Conclusion HIFU combined with suction curettage under hysteroscopic guidance is effective in treating patients with CSP of typeⅠ and type Ⅱ.关键词
剖宫产瘢痕妊娠/高强度聚焦超声/负压吸宫术/宫腔镜Key words
cesarean scar pregnancy/high-intensity focused ultrasound/suction curettage/hysteroscope分类
医药卫生引用本文复制引用
朱小刚,邓新粮,薛敏..高强度聚焦超声联合负压吸宫术治疗剖宫产瘢痕妊娠的临床研究[J].中国实用妇科与产科杂志,2018,34(5):563-565,3.
