Retrospective analysis of 60 patients treated with ectopic pregnancy

Year 2007, Volume: 9 Issue: 1, 4 - 7, 01.03.2007

Asli Somunkıran Aziz Rodan Sarohan Fuat Demırcı Oguz Yücel

Abstract

Purpose: The aim of this study was to review the management strategies of our clinic for ectopic pregnancies. Methods: Demographical features and treatment modalities of sixty patients diagnosed with ectopic pregnancy between January 2002 and December 2006 were reviewed retrospectively. Results: Forty-one percent of the patients had one or more spontaneous abortions, and 20 % had at least one induced abortion. Fourteen patients that did not have signs of rupture were treated with expectant management while 13 patients were treated medically single dose methotrexate treatment had a success rate of 77%. One (7,6%) of the patients treated with methotrexate underwent surgery after the failure of two doses. Conclusion: Methotrexate may be the first line treatment in hemodynamically stable patients with no signs of rupture. But the patients should be informed about the fact that repeated doses or even surgery may be required

Keywords

Ectopic pregnancy, methotrexate, expectant management, surgical management

Ektopik gebelik nedeniyle tedavi edilen 60 olgunun retrospektif analizi

Abstract

Amaç: Klinigimizde ektopik gebelik tanisiyla tedavi ettigimiz olgularda tedavi yaklasimlarimizin degerlendirilmesidir. Yöntem: Ocak 2002-Aralik 2006 tarihleri arasinda ektopik gebelik nedeniyle tedavi edilen 60 olgu demografik özellikleri ve tedavi yaklasimlarimiz açisindan retrospektif olarak degerlendirildi. Bulgular: Hastalardan % 41,7’sinde bir ya da fazla spontan düsük, % 20’sinde en az bir kez yasal tahliye öyküsü mevcuttu. Rüptür bulgulari olmayan 14 hasta sadece izlenirken 13 hastaya medikal tedavi uygulandi. Tek doz metotreksat tedavisinin basari orani % 77 bulundu. Metotreksat tedavisi alan bir hastaya (% 7,6) ikinci dozla da basarili elde edilemeyince cerrahi yapildi. Sonuç: Rüptür bulgulari olmayan, genel durumu stabil hastalarda metotreksat tedavisi ilk seçenek olarak önerilebilir. Ancak hastalar tedavinin uzayabilecegi ve sonrasinda cerrahi de gerekebilecegi konusunda önceden bilgilendirilmelidir

Keywords

Ektopik gebelik, metotreksat, bekleme tedavisi, cerrahi tedavi

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