| 摘要: |
| 目的 研究分析高强度聚焦超声联合清宫术治疗剖宫产术后子宫瘢痕妊娠的安全有效性。方法 分析我院2014年6月到2016年6月高强度聚焦超声联合清宫术治疗的62例子宫瘢痕妊娠的临床资料，观察患者清宫术中出血量、血清 β -人绒毛膜促性腺激素（beta -human chorionic gonadotropin ,β-hCG）下降情况、月经恢复时间、住院时间及术中术后不良反应。结果 62例子宫瘢痕妊娠患者均成功接受高强度聚焦超声联合清宫术治疗，57例患者显效，4例患者有效，总体有效率98.38%。血β-hCG平均下降17811.59mIU/mL，住院时间5-48d，平均10.2d，月经恢复时间1-3月，平均1.5月。62例患者均接受3个月的随访，无一例出现皮肤烫伤、神经损伤等严重并发症。结论 高强度聚焦超声联合清宫术治疗子宫瘢痕妊娠是一种安全有效的方式。 |
| 关键词: 高强度聚焦超声 清宫术 子宫 瘢痕妊娠 |
| DOI： |
| 投稿时间：2016-12-06修订日期：2016-12-06 |
| 基金项目: |
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| Study on the High Intensity Focused Ultrasound (HIFU) Combined with Curettage in the Treatment of Cesarean Scar Pregnancy (CSP) |
| chenguiqing,luzongjie |
| (Suining Central Hospital) |
| Abstract: |
| Objective To investigate the safety and efficacy of high intensity focused ultrasound (HIFU) combined with curettage for treatment of cesarean scar pregnancy．Methods Analyze the clinical data of 62 cases of cesarean scar pregnancy treated in our hospital from June 2014 to June 2016. All patients were treated with HIFU combined with curettage. observe the blood loss, decline of beta -human chorionic gonadotropin(β-hCG),the time of menstruation resumed normal , hospitalization time and the intraoperative and postoperative adverse reactions. Results 62 cases were successfully treated with HIFU combined with curettage, 57 patients were markedly, 4 cases were effective ,the total effective rate of 98.38%. The mean follow-up of β-hCG was 17811.59mIU / mL, the average hospitalization was 5-48 days (mean 10.2 days) and the time of menstrual recovery was 1-3 months (mean 1.5 months). 62 patients were followed up for 3 months, no case of skin burns, nerve injury and other serious complications. Conclusions HIFU combined with curettage is a safe and effective way to treat CSP. |
| Key words: high intensity focused ultrasound curettage uterus scar pregnancy |
