Izvorni znanstveni članak
Early Diagnosis and Treatment of Ectopic Pregnancy
D. Buković
M. Šimić
M. Kopjar
M. Zadro
R. Fureš
T. Visković
Sažetak
During the period from 1995 to 1999, 64 patients were treated for ectopic pregnancy.
All patients admitted to the department passed the same procedure including (complete
preoperative laboratory findings, Beta HCG, serum progesterone and transvaginal colour
Doppler). In patients who had ultrasound finding typical for ectopic pregnancy in
combination with positive Beta HCG, conservative treatment was primarily done. In the
rest of the patients, Beta HCG was tested every second day and in combination with the
clinical and vaginosonographical findings the patients underwent diagnostic or operative
laparoscopy. Out of 64 patients 36 had visible ectopic pregnancy when admitted to
the clinical department. Three patients had no visible ectopic pregnancy neither at the
time of their admission to the department nor at the time of laparoscopy. One of them
had cervical pregnancy and the other two had pregnancies in the uterine part of the
tube. The patient with cervical pregnancy was treated with metrotrexat (MTX) 12 mg
daily in 5 doses. One patient with cornual pregnancy was treated with high doses of
oxytocin infusion in combination with MEB intravenously 3x1 amp. The other patient
with cornual pregnancy underwent laparoscopy with cornual resection and salpingectomy.
Four of other tubar pregnancies were treated with metrotrexat 12mg/day for 5
days. Other ectopic pregnancies were treated as follows: 36 laparoscopic salpingectomies,
10 laparoscopic salpingotomies with ovum expression, 9 adnexectomies by laparotomy,
and 2 laparoscopic adnexectomies.
Ključne riječi
Hrčak ID:
17209
URI
Datum izdavanja:
16.12.2000.
Posjeta: 2.104 *