高强度聚焦超声治疗子宫切口妊娠的效果和安全性

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Abstract Objective To investigate the efficacy and safety of high intensity focused ultrasound (HIFU) in the treatment of uterine incision pregnancy. Methods A total of 130 patients undergoing uterine incision pregnancy who were treated in the Department of Obstetrics and Gynecology of the Second People′s Hospital of Jiulongpo District of Chongqing City from December 2015 to December 2018 were selected as the research subjects,and they were divided into the control group (65 cases) and the observation group (65 cases) according to the random number table method.The control group was treated with uterine artery embolization,and the observation group was treated with HIFU.Perioperative indicators,β-human chorionic gonadotropin (β-HCG) levels,and adverse events were compared between the two groups of patients. Results The time to return to normal β-HCG,the number of hospital stays in the observation group were shorter than those in the control group,and vaginal bleeding in the observation group was less than that in the control group,and the differences were statistically significant (P＜0.05).After 5 days of treatment,the blood β-HCG level in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion HIFU is effective in treating uterine incision pregnancy,it can shorten the length of hospital stay,reduce vaginal bleeding,promote the recovery of blood β-HCG levels,and reduce the incidence of postoperative adverse events,which is worthy of clinical promotion.

Key words： Uterine incision pregnancy;High-intensity focused ultrasound;Uterine artery embolization;Perioperative indicators;&beta human chorionic gonadotropin;Adverse reactions

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	Articles by authors
	HE Jie
	LIN An-ping
	DU Mei
	GAN Xiao-ling

Cite this article:

HE Jie,LIN An-ping,DU Mei, et al. Effect and safety of high-intensity focused ultrasound in the treatment of uterine incision pregnancy[J]. 中国当代医药, 2020, 27(21): 122-125.

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https://dangdaiyiyao.com/EN/ OR https://dangdaiyiyao.com/EN/Y2020/V27/I21/122

[1]	魏杏茹，高艳华，董巍巍，等.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.
[2]	余梁，周丽芬，含笑，等.子宫动脉化疗栓塞术联合清宫术治疗瘢痕妊娠疗效评价及影响因素分析[J].实用放射学杂志，2019，35（6）：956-959.
[3]	吕燕芬，陆永萍，孙月.子宫动脉栓塞术介入治疗剖宫产疤痕妊娠后的超声观察分析[J].昆明医科大学学报，2019，40（2）：67-70.
[4]	郭清，丁珍珍，徐锋，等.高强度聚焦超声在妇科疾病中的应用[J].中国计划生育和妇产科，2016，8（10）：28-31.
[5]	肖卓妮，杨菁，徐望明.剖宫产瘢痕妊娠治疗策略的临床疗效及并发症发生情况研究[J].中华妇幼临床医学杂志，2019，15（1）：31-38.
[6]	康丽荣，张林爱.剖宫产术后子宫切口瘢痕妊娠40 例回顾性分析[J].中国药物与临床，2019，19（5）：768-771.
[7]	冯志鹏，张建好，韩新巍.卵巢动脉栓塞对子宫疾病介入治疗的意义[J].介入放射学杂志，2019，28（7）：692-695.
[8]	苗立友，徐文健，张蕾，等.超声在剖宫产瘢痕妊娠早期诊断及子宫动脉化疗栓塞术中的应用[J].浙江医学，2018，40（7）：761-763.
[9]	谢志江，吕维富，胡汉金，等.子宫动脉化疗栓塞治疗剖宫产瘢痕妊娠的临床价值[J].中国微创外科杂志，2019，19（3）：270-273.
[10]	孙俊杰，郭素杰.子宫动脉栓塞术介入治疗剖宫产切口瘢痕妊娠的研究进展[J].医学综述，2019，25（13）：2632-2637.
[11]	陈桂清，刘晓芳，邹建中，等.高强度聚焦超声联合清宫术在治疗剖宫产术后子宫瘢痕妊娠中的临床应用[J].临床超声医学杂志，2017，19（9）：634-636.
[12]	楚光华，刘晨，胡春艳，等.高强度聚焦超声与子宫动脉栓塞术辅助治疗剖宫产瘢痕妊娠的临床效果比较[J].中华妇幼临床医学杂志，2018，14（5）：547-552.
[13]	陈燕，蒋静.高强度聚焦超声联合宫腔镜治疗剖宫产瘢痕妊娠22 例分析[J].中国计划生育和妇产科，2019，11（5）：33-35.
[14]	熊洁，陈锦云，王熙，等.高强度聚焦超声治疗包块型剖宫产瘢痕妊娠19 例临床分析[J].现代妇产科进展，2016，25（6）：448-451.
[15]	包义明，汪洋.高强度聚焦超声消融治疗子宫切口瘢痕妊娠的疗效分析[J].临床超声医学杂志，2018，20（11）：778-780.