KẾT QUẢ BƯỚC ĐẦU ĐIỀU TRỊ NỘI KHOA THAI NGOÀI TỬ CUNG CHƯA VỠ BẰNG METHOTREXATE ĐƠN LIỀU TẠI KHOA SẢN BỆNH VIỆN ĐA KHOA VĨNH LONG NĂM 2022 – 2023

Abstract

Background: Ectopic pregnancy is a common obstetric emergency and the leading cause of maternal mortality in the first trimester. Objective: To evaluate the initial results of single-dose methotrexate treatment for unruptured ectopic pregnancy at the Obstetrics Department of Vinh Long General Hospital from 2022 to 2023. Materials and methods: A cross-sectional descriptive study was conducted on all patients diagnosed with unruptured ectopic pregnancy and treated with single-dose methotrexate at Vinh Long General Hospital between July 2022 and August 2023. Results: The average age was 33.52 ± 7.17 years, with a successful treatment rate of 90.38%. There was a statistically significant association between treatment outcomes and the presence of fluid in the pouch of Douglas (p = 0.003), as well as a decrease in β hCG levels on day 7 compared to day 4 (p = 0.003).Conclusions: Medical treatment of unruptured ectopic pregnancy with methotrexate is highly effective, with a success rate of 90.38%. The presence of fluid in the pouch of Douglas and a decrease in β hCG levels are associated with treatment outcomes.