Clinical efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in treatment of cesarean scar pregnancy (CSP) I and II

Bibliographic Details
Title: Clinical efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in treatment of cesarean scar pregnancy (CSP) I and II
Authors: Yanglu Liu, Qiaozhi Yin, Fan Xu, Shuang Luo
Source: BMC Pregnancy and Childbirth, Vol 22, Iss 1, Pp 1-9 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Gynecology and obstetrics
Subject Terms: High intensity focused ultrasound, Cesarean scar pregnancy, Ultrasound-guided dilation and curettage, Gynecology and obstetrics, RG1-991
More Details: Abstract Objective To investigate the safety and feasibility of high intensity focused ultrasound (HIFU) ablation followed by ultrasound-guided dilation and curettage (USg-D&C) for two types patients with cesarean scar pregnancy (CSP-I and CSP-II). Materials and methods This study was a retrospective analysis of 101 CSP-I patients and 52 CSP-II patients who received HIFU ablation followed by USg-D&C from Jun 2014 to Oct 2020. The diameter of gestational sac/mass, thickness of the intervening myometrium, intraoperative blood loss, operation time, length of hospital stays, adverse effects and β-HCG level in the two groups were compared. Results All patients successfully received HIFU ablation under conscious sedation. The median total treatment time of HIFU ablation and median USg-D&C time in the CSP-I group were statistically longer than those in the CSP-II group (P 0.05). The average time needed for β-HCG return to normal levels was 26.08 ± 5.02. and 28.15 ± 4.99 days for CSP-I and CSP-II, respectively (P > 0.05). The percentage of adverse effects and complications was not significantly different between the two groups (P > 0.05). Conclusions HIFU ablation followed by USg-D&C was safe and effective in treating the CSP-I patients and CSP-II patients, which may be a potential noninvasive therapeutic option for patients with CSP.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2393
Relation: https://doaj.org/toc/1471-2393
DOI: 10.1186/s12884-022-04848-z
Access URL: https://doaj.org/article/a8bcd90153384417a33e108f6caeaf7d
Accession Number: edsdoj.8bcd90153384417a33e108f6caeaf7d
Database: Directory of Open Access Journals
Full text is not displayed to guests.
More Details
ISSN:14712393
DOI:10.1186/s12884-022-04848-z
Published in:BMC Pregnancy and Childbirth
Language:English