ECTOPI_KopaniBIS:Layout 1
نویسندگان
چکیده
Objectives We would like to determine the best treatment option depending of ectopic pregnancy situation. METHODS. This is a retrospective and cohort study that registered all women admitted in Obstetrics and Gynecologic “Queen Geraldine” Hospital during June 2003 until 2008. There are admitted 228 women diagnosed with Ectopic Pregnancy that are treated in our Hospital. Results. Unruptured ectopic pregnancy is diagnosed in 5,2 week of pregnancy and ruptured ectopic in an average of 6,4 weeks. Surgical intervention is registered in 170 patients and we did tubectomy. Success rate of Methotrexate application regarding β-hCG level. This treatment was more successful if β-hCG level was lower. If the β-hCG level is higher over 10 000 the success rate will decrease in 83 % and in β-hCG levels over 15 000 the success rate will be very low until 50%. Conclusions. The treatment will be determined by combination of clinical symptoms, ultrasound examination and β-hCG levels. MTX is recommended for all women without hemodinamic problems, unruptured pregnancy and not high β-hCG level (β-hCG < 5000 mlU/mL). It is confirmed that the reduce rate of 15% of β-hCG in the fourth day after application of MTX is a success guide.
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