Comparative study on the clinical effect of uterine artery embolization and high intensity focused ultrasound in the treatment of mild and severe cesarean scar pregnancy
10.3969/j.issn.1002-1671.2025.08.025
- VernacularTitle:子宫动脉栓塞术及高强度聚焦超声在治疗轻重型剖宫产瘢痕妊娠的临床效果比较研究
- Author:
Xintong SHI
1
;
Ting LIU
1
;
Jian YANG
1
Author Information
1. 西安交通大学第一附属医院医学影像科,陕西 西安 710016
- Publication Type:Journal Article
- Keywords:
cesarean scar pregnancy;
uterine artery embolization;
high intensity focused ultrasound;
dilation and curettage
- From:
Journal of Practical Radiology
2025;41(8):1370-1374
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of uterine artery embolization(UAE)combined with dilation and curettage(D&C)versus high intensity focused ultrasound(HIFU)combined with D&C in patients with cesarean scar pregnancy(CSP).Methods A total of 106 CSP patients treated at Northwest Women's and Children's Hospital were selected.They were divided into the UAE group(n=55)and the HIFU group(n=51)according to the treatment methods.The general clinical data,operation duration,and blood loss during D&C procedure were statistically compared using t-test or Mann-Whitney U test.Results Overall analysis revealed that the operation duration and blood loss were lower in the UAE group than that in the HIFU group(P＜0.05).Stratified analysis showed no significant difference in operation duration during D&C between the UAE group and the HIFU group for patients with mild CSP(type Ⅰ)(P=0.552).The blood loss of D&C in the UAE group was less than that in the HIFU group(P=0.030).In severe CSP patients(types Ⅱ and Ⅲ),both operation duration and blood loss during D&C were significantly lower in the UAE group than those in the HIFU group.Conclusion UAE may be more advantageous in treating patients with severe CSP(types Ⅱ and Ⅲ)due to shorter operative time and less bleeding.
