|
|
|
| Application of high intensity focused ultrasound combined with hysteroscopic curettage in scar pregnancy after cesarean section |
| BAO Ling-mei YE Gui-hua |
| Department of Gynaecology and Obstetrics, the First People′s Hospital of Yidu City, Hubei Province, Yidu 443300,China |
|
|
|
|
Abstract Objective To explore the clinical application value of high intensity focused ultrasound combined with hysteroscopic curettage in scar pregnancy after cesarean section. Methods A total of 80 cases with scar pregnancy termination after cesarean section admitted in our hospital from January 2018 to December 2019 were selected as the research objects, they were divided into two groups according to the random number table method, with 40 cases in each group. The observation group received high intensity focused ultrasound intervention, the control group received uterine artery embolization, all received hysteroscopic curettage treatment after surgery. Follow up for 3 months, the postoperative recovery and complications in the two groups were compared, the ratio and time of serum human chorionic gonadotropin (hCG) turning negative during follow-up were compared. Results The postoperative hemorrhage in the observation group was less than that in the control group, the time of get out of bed was earlier than that in the control group, the time of hospitalization was shorter than that in the control group, the differences were statistically significant(P＜0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). The proportion of serum hCG turning negative at all time points during the follow-up period (2 weeks after surgery, 1 month after surgery and 3 months after surgery) in the observation group was higher than that in the control group, the difference was statistically significant (P＜0.05). The seroconversion rates of hCG at 1 and 3 months after operation in both groups were higher than those at 2 weeks after operation, the differences were statistically significant (P＜0.05). The time of serum hCG turning negative in the observation group was earlier than that in the control group, the difference was statistically significant (P＜0.05). Conclusion For scar pregnancy after cesarean section, high intensity focused ultrasound intervention followed by hysteroscopic curettage treatment can effectively reduce iatrogenic operation injuries, promote early recovery of patients, and have fewer complications and reliable results.
|
|
|
|
|
|
| [1] |
林振江，袁利，刘颂，等.高强度聚焦超声与子宫动脉栓塞辅助负压吸宫术治疗剖宫产瘢痕部位妊娠的有效性和安全性比较[J].中国实用妇科与产科杂志，2020，36（4）：365-369.
|
| [2] |
严凤，李全香，魏杏茹，等.高强度聚焦超声治疗剖宫产瘢痕部位妊娠的效果分析[J].河北医科大学学报，2019，40（12）：1413-1416.
|
| [3] |
田熹，刘亚曼，杨明，等.剖宫产瘢痕部位妊娠治疗的研究进展[J].承德医学院学报，2019，36（6）：511-514.
|
| [4] |
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，2017，19（9）：634-636.
|
| [5] |
刘玉婷，唐易然，申恒春.高强度聚焦超声联合清宫术与阴式手术治疗Ⅱ型子宫瘢痕妊娠的临床疗效比较[J].解放军医学院学报，2019，40（9）：856-859.
|
| [6] |
于敬会，罗智华.高强度聚焦超声治疗Ⅲ型剖宫产瘢痕妊娠临床疗效分析及对月经恢复影响[J].黑龙江医学，2019，43（8）：942-944.
|
| [7] |
张瑶瑶，彭慧柳.高强度超声聚焦消融术结合宫腔镜治疗子宫瘢痕妊娠临床疗效[J].现代诊断与治疗，2019，30（11）：1929-1930.
|
| [8] |
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）：33-35，41.
|
| [9] |
林琼燕，郝世辉，谭琳，等.高强度超声聚焦对剖宫产瘢痕部位妊娠的治疗效果[J].中华产科急救电子杂志，2019，8（2）：116-120.
|
| [10] |
田树轩，李东东，孟跃进.高强度超声聚焦联合宫腔镜治疗剖宫产瘢痕妊娠的临床研究[J].临床研究，2019，27（6）：16-17.
|
| [11] |
王巧菊.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].哈尔滨医药，2019，39（2）：116-117.
|
| [12] |
邹秀丹.高强度聚焦超声消融对子宫切口瘢痕妊娠的有效性研究[J].实用妇科内分泌电子杂志，2019，6（9）：117-118.
|
| [13] |
高璇.高强度聚焦超声及其联合甲氨蝶呤治疗剖宫产瘢痕妊娠疗效对比[J].实用妇科内分泌电子杂志，2019，6（8）：64-65.
|
| [14] |
许温馨，邹敏，熊郁，等.高强度聚焦超声治疗后子宫肌瘤患者妊娠情况分析[J].中国实用妇科与产科杂志，2019，35（1）：117-122.
|
| [15] |
张玉婷，罗欣，明雪，等.高强度聚焦超声联合术后清宫治疗胎盘植入的有效性研究[J].中国医药导报，2019，16（11）：69-72，76.
|
| [16] |
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.
|
|
|
|
