KẾT QUẢ XỬ TRÍ ĐIỀU TRỊ CHỬA NGOÀI TỬ CUNG TÁI PHÁT Ở NGƯỜI BỆNH CÓ TIỀN SỬ PHẪU THUẬT CHỬA NGOÀI TỬ CUNG

Abstract

Objective: Evaluate the effectiveness of the treatment methods for ectopic pregnancy from the second occurrence at Hanoi Obstetrics and Gynecology Hospital. Subjects and Methods: We conducted a retrospective cohort study on all patients with recurrent ectopic pregnancy in the fallopian tubes treated at Hanoi Obstetrics and Gynecology Hospital from January 1, 2019, to December 31, 2019, with a history of ectopic pregnancy treatment. Results: A total of 178 cases (100%) underwent surgical treatment, of which 98.31% were laparoscopic surgeries and 1.69% were open surgeries. For recurrent ectopic pregnancy treatment, 177 out of 178 cases (99.44%) underwent salpingectomy. Only one case preserved the fallopian tube, which involved an ectopic pregnancy on the opposite side, with the tube on the previous side already surgically removed. Blood transfusion was required in 1.7% of cases, with the highest amount being 2 units of red blood cells. The average hospital stay for patients with recurrent ectopic pregnancy treatment was 4.5 ± 1.8 days, with open surgery requiring 5.67 ± 1.15 days and laparoscopic surgery requiring 3.32 ± 2.43 days. Conclusion: All cases (100%) received surgical treatment, with 98.31% undergoing laparoscopic surgery and 1.69% undergoing open surgery. For recurrent ectopic pregnancy treatment, 177 out of 178 cases (99.44%) underwent salpingectomy, only one case preserved the fallopian tube. 1.7% of cases of recurrent ectopic pregnancy require blood transfusion.