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.docx

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

郭欣秦贞立沈承承徐延华徐明玥

[关键词]?子宫瘢痕妊娠；高强度超声聚焦消融术；宫腔镜手术

[中图分类号]?R714.22??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.08.012

Effect?of?high-intensity?ultrasound?focused?ablation?in?the?treatment?of?ⅡB?cesarean?scar?pregnancy

GUO?Xin，?QIN?Zhenli，?SHEN?Chengcheng，?XU?Yanhua，?XU?Mingyue

Department?of?Gynecology，?Jinan?Maternal?and?Child?Health?Care?Hospital，?Jinan?250002，?Shandong，?China

[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?（P0.05），?and?the?decrease?rate?of?blood?HCG?in?the?experimental?group?was?higher?than?that?in?the?control?group?（P0.05）.?There?was?significant?difference?in?the?success?rate?of?operation?between?the?experimental?group?and?the?control?group?（P0.05）.?There?was?no?significant?difference?in?menstrual?volume?between?the?experimental?group?and?the?control?group?（P0.05），?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?met