KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT CỦA CÁC BỆNH NHÂN THAI NGOÀI TỬ CUNG ĐIỀU TRỊ TẠI BỆNH VIỆN PHỤ SẢN NAM ĐỊNH NĂM 2023

Abstract

Objective: To describe some surgical characteristics of patients with ectopic pregnancy treated at Nam Dinh Obstetrics and Gynecology Hospital. Subjects and Methods: A retrospective study on 183 patients with ectopic pregnancy who underwent surgery at Nam Dinh Obstetrics and Gynecology Hospital from January 2023 to December 2023. Results: The proportion of patients treated with laparoscopic surgery was 92.3%, while 7.7% underwent laparotomy. The rate of salpingostomy was 4.4%. All patients presented with ectopic pregnancies located in the fallopian tube. The distribution of ectopic pregnancies by anatomical site was as follows: ampullary segment (79.2%), isthmic segment (13.7%), infundibular segment (5.5%), and interstitial segment (1.6%). At the time of surgery, 81.5% of patients had experienced tubal rupture. Blood loss of less than 500 mL was observed in 84.7% of cases, and the blood transfusion rate was 12%, with 2% of patients requiring ≥ 3 units of blood. Conclusion: The majority of ectopic pregnancies at Nam Dinh Obstetrics and Gynecology Hospital were managed via laparoscopic surgery, with a tubal preservation rate of 4.4%. The ampullary segment was the most common site of ectopic pregnancy, accounting for 79.2% of cases. Blood loss was more than 500 mL in 15,3% of patients, and 12% required blood transfusion.