聚焦超声消融术联合超声引导下清宫术治疗Ⅱ型剖宫产瘢痕妊娠的疗效

 目的 探讨聚焦超声消融术(focused ultrasound ablation surgery,FUAS)联合超声引导下清宫术治疗Ⅱ型剖宫产瘢痕妊娠(cesarean scar pregnancy, CSP)的安全性及可行性。方法 选取2017-10至2019-12河北省石家庄市妇幼保健医院收治的36例Ⅱ型CSP患者,于FUAS治疗后1～3 d行超声引导下清宫术,观察FUAS治疗的术中、术后及并发症情况,观察并记录清宫术中的出血量、术后血β-hCG恢复正常及月经复潮时间等。结果 FUAS治疗后,所有患者孕囊周围瘢痕处血流消失;36例中有34例清宫术治疗成功。均无严重并发症发生;清宫术中位出血量30 ml,术后血β-hCG恢复正常平均时间(20.8±4.4)d,月经复潮平均时间(31.4±5.1)d。结论 FUAS联合超声引导下清宫术治疗Ⅱ型CSP安全、有效。

Focused ultrasound ablation surgery combined with ultrasound-guided curettage in treatingtype Ⅱ cesarean scar pregnancy

Objective To investigate the safety and feasibility of focused ultrasound ablation surgery(FUAS) combined with ultrasound-guided curettage in the treatment of type Ⅱ cesarean scar pregnancy(CSP).Methods Thirty-six patients diagnosed withtype Ⅱ CSP were enrolled in this study,who received FUAS treatment followed by ultrasound-guided uterine curettage 1 to 3 days later.The intraoperative conditions, complications, blood lossduring suction curettage, time taken for β-human chorionic gonadotropin (β-hCG) to return to normal, and time taken by menstruation recovery were recorded.Results After the treatment with FUAS, the blood flow of scars around the gestational sac disappeared in all of these patients without any serious complications.The median volume of intraoperative blood loss was 30 ml.The average time taken for blood β-hCG to return to normal was 20.8 days and the average time taken by menstruation recovery was 31.4 days.Conclusions FUAS combined with ultrasound-guided curettageis a safe and effective method for patients with Type Ⅱ CSP.