高强度聚焦超声联合超声引导下不同时间间隔抽吸刮宫术治疗剖宫产瘢痕妊娠的临床疗效和安全性:一项回顾性研究。

IF 3 3区 医学 Q2 ONCOLOGY International Journal of Hyperthermia Pub Date : 2024-01-01 Epub Date: 2024-09-15 DOI:10.1080/02656736.2024.2388653
Yan Peng, Yu Dai, Cuili Wen, Guiyuan Yu, Ping Jin
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引用次数: 0

摘要

研究目的本研究旨在评估高强度聚焦超声(HIFU)与超声引导下抽吸刮宫术在不同时间间隔内联合治疗剖宫产瘢痕妊娠(CSP)的临床疗效和安全性:方法:共招募了 115 名 CSP 患者,并根据 HIFU 消融与吸刮术之间的时间间隔将其分为两组。A组(n = 50)在HIFU消融术后24-48小时进行抽吸刮宫术,B组(n = 65)在HIFU消融术后6小时内进行抽吸刮宫术。研究对比分析了超声引导下抽吸刮宫术的临床特征、治疗成功率和术中出血情况:结果:两组患者的人口统计学特征相似,在 HIFU 参数、治疗成功率、失血量、Foley 导管球囊的使用和住院费用方面均无统计学差异(P > 0.05)。重要的是,与消融术后 24-48 小时内进行的抽吸刮宫术相比,HIFU 消融术后 6 小时内进行的抽吸刮宫术缩短了住院时间(p 结论:HIFU 消融术后 6 小时内进行的抽吸刮宫术缩短了住院时间,而消融术后 24-48 小时内进行的抽吸刮宫术缩短了住院时间:对于确诊为 CSP 的患者,在 HIFU 消融术后 6 小时内进行抽吸刮宫术是一种有效、安全且经济的治疗方法。
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Clinical efficacy and safety of high-intensity focused ultrasound combined with ultrasound-guided suction curettage at different time intervals for Cesarean scar pregnancy: a retrospective study.

Objective: This study aims to assess the clinical efficacy and safety of combining high-intensity focused ultrasound (HIFU) with ultrasound-guided suction curettage for the treatment of cesarean scar pregnancy (CSP) at different time intervals.

Methods: A total of 115 CSP patients were enrolled and divided into two groups based on the time between HIFU ablation and suction curettage. Group A (n = 50) underwent suction curettage 24-48 h after HIFU ablation, while Group B (n = 65) had suction curettage within 6 h of HIFU ablation. The study compared and analyzed the clinical characteristics, treatment success rates, and intraoperative hemorrhage during ultrasound-guided suction curettage.

Results: The demographic characteristics of the two groups were similar, with no statistically significant differences observed in HIFU parameters, treatment success rates, blood loss, the use of Foley catheter balloons, or hospital expenses (p > 0.05). Importantly, suction curettage performed within 6 h after HIFU ablation resulted in shorter hospitalization times compared to suction curettage performed 24-48 h after the ablation (p < 0.05).

Conclusions: Suction curettage within 6 h after HIFU ablation is an effective, safe, and cost-efficient treatment for patients diagnosed with CSP.

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来源期刊
CiteScore
5.90
自引率
12.90%
发文量
153
审稿时长
6-12 weeks
期刊介绍: The International Journal of Hyperthermia
期刊最新文献
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