Clinical safety and efficacy of high-intensity focused ultrasound（HIFU） in the treatment of placenta accreta

Liu Xiaofang; He Jia; Huang Guohua; Zhang Lian

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Clinical safety and efficacy of high-intensity focused ultrasound（HIFU） in the treatment of placenta accreta

更新时间：2023-12-18

- Clinical safety and efficacy of high-intensity focused ultrasound（HIFU） in the treatment of placenta accreta
- Journal of Chongqing Medical University Vol. 40, Issue 9, Pages: 1260-1263(2015)
- 作者机构：
  
  1. 遂宁市中心医院妇产科,遂宁,629000
  2. 重庆医科大学附属海扶中心,重庆,400010
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2015，
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Liu Xiaofang, He Jia, Huang Guohua, et al. Clinical safety and efficacy of high-intensity focused ultrasound（HIFU） in the treatment of placenta accreta. [J]. Journal of Chongqing Medical University 40(9):1260-1263(2015)
DOI：

Liu Xiaofang, He Jia, Huang Guohua, et al. Clinical safety and efficacy of high-intensity focused ultrasound（HIFU） in the treatment of placenta accreta. [J]. Journal of Chongqing Medical University 40(9):1260-1263(2015) DOI：

摘要

目的：通过观察高强度聚焦超声（high-intensity focused ultrasound，HIFU）治疗胎盘植入患者的临床疗效及不良反应，评价超声消融治疗胎盘植入中的安全性及有效性。方法：将15例诊断为胎盘植入的患者进行高强度聚焦超声治疗，于治疗前后分别行六氟化硫微泡造影，以评价胎盘植入部位血供情况，术后1周用彩色多普勒超声评价植入胎盘面积变化、血HCG水平及月经恢复情况。结果：15例患者术后立即行六氟化硫微泡造影，其中14例患者未见明显血流信号，1例仍有部分血流信号，即刻治疗有效率达93.3%，治疗后1周有效率达100%，治疗后3天14例血人体绒膜促性腺激素水平明显降低，1例下降不明显；另外9例月经来潮，其经期、经量、周期较孕前无统计学差别。结论：HIFU能安全有效治疗胎盘植入。

Abstract

Objective：To evaluate the clinical safety and efficacy of high -intensity focused ultrasound（HIFU） in the treatment of pla－centa accreta． Methods：Fifteen patients with placenta accreta were treated with the HIFU. The blood-perfused area of placenta acc－reta was observed through sulphur hexafluoride microbubbles；the placenta accreta volume and the blood β-human chorionic go－nadotropin（HCG）as well as the time of return of normal menses were evaluated by color Doppler ultrasound. Results：After the treat－ment of HIFU，the blood-perfused area of fourteen cases was disappeared. One case still had blood perfusion，the effective rate of im－mediate treatment was 93.3% and the effective rate of one-week treatment was 100%. The bloodβ-HCG of fourteen cases were sig－nificantly reduced after treatment. In addition，nine cases resumed normal menstruation. Conclusion：HIFU as a new treatment method for placenta accreta is safe and effective．

关键词

高强度聚焦超声胎盘植入六氟化硫微泡

Keywords

high-intensity focused ultrasoundplacenta accretesulphur hexafluoride microbubbles

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