郭欣 秦贞立 沈承承 徐延华 徐明玥

    [摘要]?目的?探究高強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。方法?收集笔者医院2019年1月至2021年12月期间ⅡB型剖宫产瘢痕部位妊娠患者365例，分为高强度超声聚焦消融术预处理的实验组(186例)及未经处理的对照组(179例)，比较两组术中出血量、术后阴道流血时间、术后血人绒毛膜促性腺激素(human?chorionic?gonadotropin，HCG)下降率及手术成功率等指标。结果?实验组术中出血量、术后阴道流血时间均少于对照组(P0.05)，但对照组月经期延长，两组术后并发症的发病率差异无统计学意义。结论?高强度超声聚焦消融术可有效减少ⅡB型瘢痕妊娠患者术中出血量，减少腹腔镜等有创方式应用，可作为ⅡB型瘢痕妊娠的预处理方式推广。

    [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 ......