高强度聚焦超声治疗子宫切口妊娠的效果和安全性.docxVIP

高强度聚焦超声治疗子宫切口妊娠的效果和安全性 何杰 林安平 杜梅 甘晓玲 [摘要]目的 探討高强度聚焦超声（HIFU）治疗子宫切口妊娠的效果和安全性。方法 选取重庆市九龙坡区第二人民医院妇产科20XX年12月～20XX年12月收治的130例行子宫切口妊娠术患者作为研究对象，按照随机数字表法分为对照组（65例）与观察组（65例）。对照组采用子宫动脉介入栓塞术治疗，观察组采用HIFU治疗。比较两组患者的围术期指标、β人绒毛膜促性腺激素（β-HCG）水平以及不良事件发生情况。结果 观察组的血β-HCG恢复正常时间、住院天数短于对照组，阴道出血量少于对照组，差异有统计学意义（P0.05）。治疗5 d后，观察组的血β-HCG水平低于对照组，差异有统计学意义（P0.05）。观察组的不良事件总发生率低于对照组，差异有统计学意义（P0.05）。结论 HIFU治疗子宫切口妊娠效果显著，可缩短患者住院时间，减少阴道出血量，促进血β-HCG水平恢复，同时降低术后不良事件发生率，值得临床推广。 [关键词]子宫切口妊娠;高强度聚焦超声;子宫动脉介入栓塞术;围术期指标;β人绒毛膜促性腺激素;不良反应 [中图分类号] R714.2 [文献标识码] A [文章编号] 1674-4721（2020）7（c）-0122-04 Effect and safety of high-intensity focused ultrasound in the treatment of uterine incision pregnancy HE Jie1 LIN An-ping2▲ DU Mei1 GAN Xiao-ling2 1. Department of Obstetrics and Gynecology， the Second People′s Hospital of Jiulongpo District of Chongqing City， Chongqing 400000， China; 2. Department of Obstetrics and Gynecology， the Second Affiliated Hospital of Chongqing Medical University， Chongqing 400100， China [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 20XX to December 20XX 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 bleedi