Comparison of the efficacy of simple high-intensity focused ultrasound with or without uterine curettage for placenta implantation / 中国实用妇科与产科杂志

ABSTRACT

OBJECTIVE: To discuss the clinical efficacy of HIFU combined uterine curettage and that of simple HIFU after vaginal delivery for placenta implantation.METHODS: HIFU were performed in 33 patients diagnosed with placenta implantation by MRI after vaginal delivery from 2013 to 2019. Among them,7 cases were treated with HIFU combined with uterine curettage(combination group),and the remaining 26 cases were HIFU group.The discharge of residual placental tissues and vaginal bleeding volume,vaginal bleeding time,time for menstrual resumption,hCG outcome and re-pregnancy were counted.RESULTS: There were no statistical differences in the vaginal discharge of lesion tissues,the vaginal bleeding volume up to menstrual resumption,vaginal bleeding time,time for menstrual resumptiom or hCG outcome(P>0.05),That is to say,the effect was equivalent.The hospitalization expenses and hospitalization time of HIFU combined with uterine curettage group were higher and longer than those of HIFU group,and the difference was statistically significant(P<0.05).CONCLUSION: HIFU is effective in the treatment of placenta-implanted patients.