ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA CÁC BỆNH NHÂN PHẪU THUẬT CHỬA NGOÀI TỬ CUNG TẠI BỆNH VIỆN THANH NHÀN NĂM 2022 – 2023

Abstract

Objective: Describe the clinical and subclinical characteristics of patients undergoing surgery for ectopic pregnancy at Thanh Nhan Hospital in 2022-2023. Research method: Cross-sectional, retrospective study of 205 patient records diagnosed with ectopic pregnancy and treated surgically at the Department of Obstetrics and Gynecology, Thanh Nhan Hospital from July 2022 to December 2023 to analyze the clinical and subclinical characteristics of the above patients. Results: Most cases had a combination of 2/3 or more classic symptoms, with pain in the sacrum during examination having the highest rate of 65.4% and 2.9% of cases showing signs of shock. Ultrasound detected the most common atypical mass with 67.3%. Among the typical signs, ultrasound showed yolk sác with the highest rate (15.2%). The majority of cases had masses larger than 3cm on ultrasound (75.1%). Most cases had abdominal fluid on preoperative abdominal ultrasound (85.4%). The larger the size of the gestational mass was associated with higher β-hCG concentrations, the difference was statistically significant with p=0.002<0.05. The larger the size of the gestational mass was associated with more severe anemia, the difference was statistically significant with p=0.032<0.05. Conclusion: In which, the combination of all 3 symptoms of pain, vaginal bleeding and delayed menstruation accounted for the highest rate (42.4%). Ultrasound detected the most common atypical mass with 67.3%. The larger the size of the gestational mass was associated with higher β-hCG concentrations and more severe anemia, the difference was statistically significant with p<0.05.