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 div...

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Main Authors: Yan Peng, Yu Dai, Cuili Wen, Guiyuan Yu, Ping Jin
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Hyperthermia
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Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2024.2388653
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author Yan Peng
Yu Dai
Cuili Wen
Guiyuan Yu
Ping Jin
author_facet Yan Peng
Yu Dai
Cuili Wen
Guiyuan Yu
Ping Jin
author_sort Yan Peng
collection DOAJ
description 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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publishDate 2024-12-01
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series International Journal of Hyperthermia
spelling doaj-art-97ca7e92fb6e4a98b773b6b79f5b39842025-01-03T09:30:28ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2388653Clinical efficacy and safety of high-intensity focused ultrasound combined with ultrasound-guided suction curettage at different time intervals for Cesarean scar pregnancy: a retrospective studyYan Peng0Yu Dai1Cuili Wen2Guiyuan Yu3Ping Jin4Department of Gynecology, Shenzhen Maternityand Child Healthcare Hospital, Shenzhen, ChinaDepartment of Gynecology, Shenzhen Maternityand Child Healthcare Hospital, Shenzhen, ChinaDepartment of Gynecology, Shenzhen Maternityand Child Healthcare Hospital, Shenzhen, ChinaDepartment of Gynecology, Shenzhen Maternityand Child Healthcare Hospital, Shenzhen, ChinaDepartment of Gynecology, Shenzhen Maternityand Child Healthcare Hospital, Shenzhen, ChinaObjective 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.https://www.tandfonline.com/doi/10.1080/02656736.2024.2388653Cesarean scar pregnancyhigh intensity focused ultrasoundultrasound-guided suction curettageefficacysafety
spellingShingle Yan Peng
Yu Dai
Cuili Wen
Guiyuan Yu
Ping Jin
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
International Journal of Hyperthermia
Cesarean scar pregnancy
high intensity focused ultrasound
ultrasound-guided suction curettage
efficacy
safety
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Cesarean scar pregnancy
high intensity focused ultrasound
ultrasound-guided suction curettage
efficacy
safety
url https://www.tandfonline.com/doi/10.1080/02656736.2024.2388653
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