Kliniğimizde Ocak 2008 ve Mart 2011 Tarihleri Arasında Ektopik Gebelik Tanısı Almış Vakaların İrdelenmesi

Authors : Ayşe Ender Yumru, Burcu Dinçgez, Anıl Murat Sever, Abdülhamit Bozyiğit, Yavuz Tahsin Ayanoğlu

Pages : 51-55

View : 33 | Download : 9

Publication Date : 2012-03-01

Article Type : Research

Abstract :Aim: To evaluate risk factors, diagnosis and treatment procedures in women admitted to our clinic with ectopic pregnancy. Materials and Methods: A total of 75 women who were diagnosed as having an ectopic pregnancy at the Taksim Educationand Research Hospital between January 2008 and March 2011 were included in this study. All data were analyzed retrospectively. Age, complains, β-HCG levels, transvaginal ultrasound findings, fetal cardiac activity, last menstrual date, risk factors, contraception method and treatment procedures were evaluated.Results: The mean age of the patients was 30,4 ± 5,9 years. Thirty patients 40% applied with pain, ten 13% with a delay of menstrual bleeding and 35 47% with vaginal hemorrhage. Mean gestational age at the time of diagnosis was 5 ± 1,7 weeks and mean β-HCG level was 4338 ± 6341,5 mIU/ml. With transvaginal ultrasonography, ectopic focii were detected in 55 patients 73% and the mean lesion size was 36,6 ± 16,2 mm. Fetal cardiac activity within the ectopic pregnancy was observed in 18 patients 32% . Distribution of contraception methods was; condoms in five cases 6,6% , oral contraceptive in three cases %4 , intrauterin devices in 14 cases 18,7% and no contraception method in 53 patients. Four patients had previous surgery for ectopic pregnancy, seven patients had cesarean section, one patient was previously operated on an adnexal mass, one patient had myomectomy, three patients had appendectomy and one patient had bowel operation. Surgery for ectopic pregnancy was performed in 49 patients 65,3% , medical treatment was performed in eight patients 10,7% and expectant management was performed in 18 patients 24% . Medical management was unsuccessful in one patient and surgery was performed. All patients were treated successfully and no mortality was observed.Conclusion: In our study vaginal hemorrhage 47% was the most common complaint, recent abdominal surgery was the most important risk factor 22,7% , intrauterin device was the most common contraception method 18,7% and surgery was the most common treatment method 65,3% . We conclude that the mortality of ectopic pregnancy can be reduced with early diagnosis and treatment
Keywords : ec topic pregnancy, epidemiology