Clinical­and­endocrinological and echographic features of retrochorial haematomas

Abstract

DOI: 10.52705/2788-6190-2025-01.1-06
УДК 618.344-003.215-039:616.43/.45

The objective: to learn clinical-and-endocrinological and echographic features of retrochorial haematomas.
Materials and methods. 115 expectant mothers are inspected, in 95 from them (basic group) the first trimester became complicated by the threat of terminating of pregnancy with creatin of intrauterine haematoma, in 20 pregnant (control group) of I a trimester flowed without complications. General clinical, laboratory inspection, which includes general and biochemical blood tests,
coagulogram, research of concentration of human chorionic gonadotropin in a dynamics, was conducted. The biochemical markers of chromosomal anomalies were in addition, determined (alpha-fetoprotein and human chorionic gonadotropin). Ultrasonic research was executed the patients of basic group from Doppler each 7–10 days, at which taken into account localization,
volume of endometrial haematoma, morphological research of placenta and material from the cavity of uterus at the involuntary breaking of pregnancy.
Results. A yellow body in an ovary was determined in 50 (52,6%) patients as formation of the rounded form. A middle diameter made 20,9 ± 4,8 mm, less than 18 mm – for every fourth patient (12–24,0%), more than 25 mm – at every fifth (10–20,0%). A width of peripheral contour, on the average, was 3,8±1,1 mm, less than 2,5 mm incorporated in 3 supervisions from 50 (6,0%).
Single colour locus was registered in 19 (38,0%), plural – in the halves of patients (27–54,0%) and it was not observed in 4 (8,0%) locus of vascularization. In 45 (47,4%) supervisions a yellow body was not visualized. From them in a 25 (55,6%) term of pregnancy was 12 and more than weeks, in 4 (8,9%) – in a term 11–12 weeks, in 7 (15,6%) – in a term 9–10 weeks and in 9 (20,0%) – at the term of pregnancy less than 8 weeks. In subsequent in 8 (40,0%) patients from a 20 (with absence of yellow body at ultrasonic research in a term to 12 weeks) pregnancy intermitted in I trimester, thus, the most percent of abortions (7–87,5%) is marked for pregnant with absence of yellow body from data of ultrasonic research in a term 8 and less than weeks (р < 0,05). In future from 46 patients with the changed structure of yellow body (from data of ultrasonic and Doppler research of yellow body of pregnancy) at every fifth (9 (19,6%) the noted relapses of threatening abortion in the II trimester.
Conclusions. The factors of risk responsible for the removal of chorion from creation of internal uterine haematoma are inflammatory diseases of organs of small pelvis, dysmenorrhea, ectopia of cervix and loss of pregnancy in anamnesis. Echographic estimation of volume localizations of haematoma, embryo and structures of ovum in I trimester, a large diagnostic value has Doppler research of yellow body of ovary in relation to the results of pregnancy.