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Retrospective Evaluation of the Treatment Approaches of Ectopic Pregnancies According to Gestational Week
Nurullah Peker1, Senem Yaman Tunç2, Sibel Sak3, Talip Karaçor1, Serdar Başaranoğlu4, Talip Gül21Health Sciences University Gazi Yaşargil Education Res. Hospital Women's Hospital and Gynecology, Diyarbakir, Turkey2Dicle University Faculty of Medicine, Department of Obstetrics and Gynecology, Diyarbakır
3Harran University School of Medicine Department of Obstetrics and Gynecology, Sanliurfa, Turkey
4Private Bilge Hospital Obstetrics and Gynecology, Eyup, Istanbul, Turkey
INTRODUCTION: We evaluated steps leading to the diagnosis and treatment diagnosed with ectopic pregnancy patients. The relationship between gestational age belong to last menstrual period (LMP) and treatment methods were evaluated.
METHODS: 192 cases of treated ectopic pregnancy were evaluated according to the diagnostic methods and treatment options between 2011-2014 in our tertiary clinic.
RESULTS: The incidence of ectopic pregnancy was found 30.8/1000. A single dose of methotrexate (MTX) treatment success rate was 69.8%, and the success rate of the two-dose medical treatment with MTX was 87.5%. The most common surgical procedure for patients undergoing surgery (54%) were salpengectomy. Follow-up treatment was sufficient in 37 patients (19.2%). When the forms of
treatment compared with certain parameters;There were found statistically significant difference between going to
surgery with the high β-hCG level, positive fetal cardiac beats (FHB), free fluid in the abdomen, large size of ectopic pregnancy and big gestational ages according to LMP (p <0.05).
DISCUSSION AND CONCLUSION: When the ectopic pregnancy diagnosed early; we investigated that patients with small gestational age belong to LMP with follow-up and medical treatment, and also we identified patients with advanced gestatioanal age were treated surgery treatment.
Manuscript Language: English
