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| The imaging characteristics and effect of clinical interventional therapy for bleeding of women with ectopic pregnancy |
| The Third People's Hospital of Henan Province, Zhengzhou, Henan Province, 450000 |
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Abstract To explore the imaging characteristics and clinical interventional therapy for bleeding of women with ectopic pregnancy. Methods：The clinical data of 145 patients with hemorrhage caused by ectopic pregnancy from June 2018 to June 2020 were collected retrospectively. These women had undergone CT examination before surgery, and digital substraction angiography (DSA) of their bilateral external iliac artery and renal artery angiography were performed to observe the imaging characteristics during surgery. These women were divided into group A and group B according to the treatment methods. 75 women in group A were treated with uterine artery embolization (UAE), and 70 women in group B were treated with conventional surgery to remove the lesions. The situations of operation and recovery, the adverse reactions rate, and the clinical efficacy of the women were compared between the two groups. The success rate of operation (100.0%) of the women in group A was significant higher than that (97.1%) of the women in group B, and the total clinical effect rate (96.0%) of the women in group A was significant higher than that (85.7%) of the women in group B. The operative time, amount of blood loss, postoperative intestinal recovery time, and the time of blood β-chorionic gonadotropin level recovery to normal of the women in group A were all significant lower than those of the women in group B. The incidence of adverse reactions (2.7%) of the women in group A was significant lower than that (8.6%) of the women in group B (all P＜0.05). Conclusion: The imaging characteristics of preoperative CT and intraoperative DSA of the women with hemorrhage caused by ectopic pregnancy are different from those of women with conventional hemorrhage during pregnancy. Interventional therapy for bleeding has effect significantly, which can increase the success rate of treatment, can reduce the time of operation technique and postoperative recovery, and can decrease complication rate.
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