Treatment Options And Success Rates in Ectopic Pregnancy Cases

Year 2014, Volume: 11 Issue: 1, 17 - 20, 01.01.2014

Özlem Seçilmiş Kerimoğlu , Ayşe Gül Kebapçılar Aybike Pekin Setenay Arzu Yılmaz Fatma Beyhekim Çetin Çelik

Abstract

Aim: The aim of this study is to determine treatment approaches and success rates of ectopic pregnancy which had been diagnosed in our department during the last three years.Materials and methods: A total of 77 ectopic pregnancy cases were retrospectively analyzed between 2010 and 2013.Results: Age range of the patients was 20-44 years with a mean of 29.27 ± 4.99. Site of the ectopic pregnancy cases had been identified as 74 97% tubal, one 1% cervical, 1 1% overial and 1 1% in the cesarean section scarline. The rate of response was 68.5% with methotrexate. No maternal death was observed. Conclusion: Ectopic pregnancy is an important issue because of affecting fertility and high rates of mortality and morbidity.

Keywords

Ectopic, pregnancy, treatment, methotrexate

Ektopik Gebelik Olgularında Tedavi Seçenekleri ve Başarı Oranlarımız

Abstract

Giriş: Bu çalışmanın amacı kliniğimizde son üç yılda ektopik gebelik tanısı ile tedavi edilen hastaların tanı ve tedavi yaklaşımlarının irdelenerek tedavi başarı oranlarımızın belirlenmesidir.Gereç ve yöntem: 2010 ve 2013 tarihleri arasinda ektopik gebelik tanısı alan ve tedavi edilen toplam 77 olgu retrospektif olarak incelendi.Bulgular: Vakalarımızın yaş aralığı 20-44 yaş olup, ortalaması 29.27 ± 4.99 olarak saptandı. Olgularımızın ektopik gebelik yerleşim yeri 74 % 97 tubal, 1 % 1 servikal, 1 % 1 ovaryal ve 1 % 1 ise sezeryan skar hattı idi. Metotreksat tedavisine yanıt % 68.5 olarak hesaplandı. Maternal mortalite görülmedi.Sonuç: Ektopik gebelik fertiliteyi etkilemesi, mortalite ve morbiditesinin yüksek olması bakımından günümüzde hala önemini koruyan bir hastalıktır.

Keywords

Ektopik, gebelik, tedavi, metotreksat

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