ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ THAI NGOÀI TỬ CUNG BẰNG PHƯƠNG PHÁP PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN SẢN NHI TỈNH HẬU GIANG

Abstract

Objectives: (1) Describe clinical and subclinical features in the diagnosis of ectopic pregnancy. (2) Analyze the results of treatment of ectopic pregnancy by laparoscopic surgery. Methods: cross-sectional descriptive study on 65 patients diagnosed with ectopic pregnancy and treated with laparoscopic surgery at Hau Giang Provincial Obstetrics and Pediatrics Hospital. Results: Clinical symptoms of amenorrhea was 75.4%, abdominal pain was 86.2%, vaginal bleeding was 41.5%, cul de sac examination was painful in 81.5%, abdominal wall reaction was 43.1%, and trunk large uterus. The average β-hCG concentration level was 9149.9 ± 16137 mUI/ml. The average gestational sac size on ultrasound was 41.1 ± 15.6 mm. The rate of ruptured adnexal mass accounts for 90.8% of surgical procedures. The average amount of blood loss was 580.8 ± 552.5 ml, the largest volume of blood loss was 2300ml and the least was 50ml. The average blood volume required for a surgery is 121.9 ± 232.4 ml, the maximum amount of blood transfusion is 1050ml and the least amount of blood transfusion is no need for blood transfusion. The average time for a surgery is 52.2 ± 13.5 minutes. The average number of days of antibiotic treatment was 6.7 ± 1.2 days, and the average number of days of analgesic treatment was 6.6 ± 1.3 days. 76.9% of patients can be discharged from the hospital after 7 days.