|本期目录/Table of Contents|

[1]任倩梅,毛熙光.HIFU治疗复发性子宫瘢痕部位妊娠效果的研究[J].遵义医科大学学报,2019,42(05):543-547.
 Ren Qianmei,Mao Xiguang.Effects of high intensity focused ultrasound ablation on the treatment of recurrent uterine scar[J].Journal of Zunyi Medical University,2019,42(05):543-547.
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HIFU治疗复发性子宫瘢痕部位妊娠效果的研究()
     
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《遵义医科大学学报》[ISSN:1000-9035/CN:22-1262/O4]

卷:
第42卷
期数:
2019年05期
页码:
543-547
栏目:
临床医学研究
出版日期:
2019-10-25

文章信息/Info

Title:
Effects of high intensity focused ultrasound ablation on the treatment of recurrent uterine scar
文章编号:
1000-2715(2019)05-0548-04
作者:
任倩梅毛熙光
(西南医科大学附属医院 妇科,四川 泸州 646000)
Author(s):
Ren Qianmei Mao Xiguang
(Department of Gynecology, Affiliated Hospital of Southwest Medical University, Luzhou Sichuan 646000, China)
关键词:
复发性子宫瘢痕部位妊娠(RCSP) 高强度聚焦超声消融术 清宫术 治疗价值
Keywords:
recurrent uterine scar pregnancy high intensity focused ultrasound ablation uterine curettage value of treatment
分类号:
R713.8
DOI:
-
文献标志码:
A
摘要:
目的 对比清宫术和高强度聚焦超声消融术(HIFU)辅助清宫术对复发性子宫瘢痕部位妊娠(RCSP)的治疗效果,明确HIFU对清宫术治疗RCSP的临床价值。方法 回顾性分析99例RCSP患者的临床资料,根据治疗方法,将这99例患者分为清宫术组(A组,47例)、HIFU+清宫术组(B组,52例),并对两组的患者资料、手术指标、手术相关并发症以及术后相关指标进行统计学分析,从而分析两种方法的治疗价值。结果 患者的年龄、孕周、BMI值、既往剖宫产次数两组比较差异无统计学意义(P>0.05); A组手术时间平均为(29.30±13.41)min,B组平均为(23.35±13.27)min,两组比较差异有统计学意义(P=0.029); 与A组比较,B组出血量明显减少(P<0.001),发生大出血、切除子宫、二次清宫及子宫瘢痕破裂的风险降低(P<0.05),住院时间、术后血清β-HCG恢复正常及月经恢复的时间明显缩短(P<0.05),但B组住院费用较A组增加(P<0.001)。结论 清宫术前予以高强度聚焦超声消融治疗,可减少RCSP清宫治疗中大出血、二次清宫、子宫切除等并发症的发生,促进患者术后恢复,为患者带来更大的临床治疗效益。
Abstract:
ObjectiveTo investigate the clinical value of high intensity focused ultrasound ablation(HIFU)in the treatment of recurrent cesarean scar pregnancy(RCSP)by comparing the therapeutic effects of uterine curettage with and without using HIFU. Methods The retrospective analysis of 99 RCSP cases was conducted. According to the adopted treatment methods, ninety-nine patients were divided into two groups: uterine curettage only(group A, n=47), and uterine curettage with HIFU(group B, n=52). The patients data, surgical indicators, surgical complications and postoperative indicators in the two groups were statistically analyzed. Results No significant difference of age, gestational age, BMI value and the number of previous cesarean section between the two groups was found. The average operation time was shorter in group B(23.35 ±13.27)min than that in group A(29.30 ±13.41)min. Compared with group A, the amount of bleeding in group B was significantly reduced and the risk of severe bleeding, hysterectomy, secondary uterine clearing and uterine scar rupture were decreased. The hospitalization time and the recovery time of serum β-HCG and menstruation in group B were significantly shortened, while the hospitalization cost increased in contrast with those in group A. Conclusion HIFU before uterine curettage could reduce the occurrence of complications, such as excessive bleeding, secondary uterine curettage and hysterectomy in the uterine curettage treatment of RCSP, promote the recovery of patients after operation, and thus has greater clinical benefits to patients.

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备注/Memo

备注/Memo:
[通信作者]毛熙光,男,硕士,教授,硕士生导师,研究方向:妇科肿瘤及妇科相关疾病, E-mail:Mxg6639@163.com。
更新日期/Last Update: 2019-10-25