NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ THAI NGOÀI TỬ CUNG CHƯA VỠ BẰNG METHOTREXATE TẠI BỆNH VIỆN PHỤ SẢN THÀNH PHỐ CẦN THƠ NĂM 2019-2020

Abstract

  Background: Ectopic pregnancy is a common problem that directly affects the life and fertility of women of childbearing age. Objectives: To survey on clinical and subclinical characteristics of patients with unbroken ectopic pregnancy and evaluation of the results of treatment of uterine tube conservation in patients with unbroken ectopic pregnancy with methotrexate at Can Tho Obstetrics and Gynecology Hospital 2019-2020. Materials and methods: Cross-sectional and prospective description of 71 patients diagnosed and treated for ectopic pregnancy in an unbroken uterine tube at Can Tho Obstetrics and Gynecology Hospital from January 2019 to January 5 year 2020. Research describing clinical and subclinical characteristics of unbroken ectopic pregnancy; the treatment outcome of Methotrexate. Results: The most common clinical symptom was late menstruation combined with abdominal pain 78.7%. Subjects with vaginal bleeding phenomenon only 9.3%. The hypotonic pain occurred in 54.9% of subjects diagnosed with an ectopic pregnancy. Subclinical characteristics: The average concentration of βhCG over the survey was 1869.4 ± 1216 (mIU/ml), the highest concentration 4970 (mIU/ml) and the lowest 226 (mIU/ml). The largest diameter of the fetus is 37 x 40 mm and the minimum diameter is 8 x 7mm. Small common diameter ≤20mm accounts for 46.5% and from 21 to 40mm 53.5%. The fluid thickness in the pocket with Douglas was only 16.9%. Results of medical treatment for ectopic pregnancy with 90.1% success rate and 9.9% failure rate. Conclusion: The results of medical treatment for ectopic pregnancy are quite good, still 9.9% of treatment fail.