8.2.14

POSSIBILITIES OF THE COLOUR DOPPLER ECHOGRAPHY IN CHOOSING A METHOD OF A «NON-TUBAL» PREGNANCY TREATMENT

Pomortsev А.V.1, Makukhina V.V.1, Makukhina T.B.1,2, Knyazeva N.A.2, Khudorogkova E.D.1

Purpose. To form among patients with «non-tubal» ectopic pregnancy risk groups with indica-tions for uterine artery embolization (UAE); analysis of possible influence of UAE on fertility in the future. Materials and Methods. Retrospective analysis of 58 patients with «non-tubal» EP data: the group 1st (n=46) consisted of patients treated without UAE, women in the group 2nd (n=12) were treated with UAE. β-HCG levels, presence of embryo cardiac activity, color Doppler (CD) data, organ-preserving result and future fertility were compared between the groups. Results. vascularization level according CD data was significantly higher in the group 2nd (p=0,009). In group 1st hysterectomy was performed in 4 cases, in group 2nd uteri were preserved in all cases (p=0,018). Following intrauterine pregnancies in the group 1st were registered in 8 cases, in the group 2nd no pregnancies were registered (p=0,074), although the groups were not randomized according to reproductive planning. Conclusion. Presence of high vascularized chorion masses according to CD data in patients with «non-tubal» EP increases risk of UAE and allows to preserve an uterus, but the prognosis for following pregnancies is unclear and demands further investigation.

1 – Sklifosovsky Research and Clinical Institute for Emergency Medicine. 2 – I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, Russia.


 

Keywords: «non-tubal» ectopic pregnancy, color Doppler, uterine artery embolization, fertility.

 

 

Corresponding author:

Makukhina T.B., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

 

For citation: Zhukova A.R., Rozhdestvensky A.S., Ignatiev Yu.T., Voluzheva S.V. Magnet-ic resonance imaging in differential diagnosis of demyelinating diseases of the central nerv-ous system. REJR 2018; 8(2):134-141. DOI:10.21569/2222-7415-2018-8-2-134-141.

Received: 07.04.2018 Accepted: 20.04.2018