Effect of high-intensity ultrasound focused ablation in the treatment of ⅡB cesarean scar pregnancy
10.3969/j.issn.1673-9701.2024.08.012
- VernacularTitle: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
- Author:
Xin GUO
1
;
Zhenli QIN
1
;
Chengcheng SHEN
1
;
Yanhua XU
1
;
Mingyue XU
1
Author Information
1. Department of Gynecology, Jinan Maternal and Child Health Care Hospital, Jinan 250002, Shandong, China
- Publication Type:Journal Article
- Keywords:
Cesarean scar pregnancy;
High-intensity ultrasound focused ablation;
Hysteroscopic surgy
- From:
China Modern Doctor
2024;62(8):51-54
- CountryChina
- Language:Chinese
-
Abstract:
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.
