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Date Published: 13/01/2022
Abstract Views: 569
Views PDF: 1058
DOI: https://doi.org/10.51298/vmj.v509i2.1780
Issue
Vol. 509 No. 2 (2021)
Section
Các bài báo
How to Cite
Văn Sang, N. ., Văn Ngọc, D. ., Sỹ Quân, V. ., & Phan Ninh, T. . (2022). CLINICALFEATURES AND TRASVAGINAL ULTRASOUND IMAGES OF ECTOPICPREGNANCY. Vietnam Medical Journal, 509(2). https://doi.org/10.51298/vmj.v509i2.1780

CLINICALFEATURES AND TRASVAGINAL ULTRASOUND IMAGES OF ECTOPICPREGNANCY

Nguyễn Văn Sang1,2,, Doãn Văn Ngọc2,3, Vũ Sỹ Quân2, Trần Phan Ninh1,4
1 Thai Nguyen University of Medicine and Pharmacy
2 E Hospital
3 University of Medicine and Pharmacy, Vietnam National University, Hanoi
4 Vietnam National Children's Hospital

Main Article Content

Abstract

A study of 61 patients with ectopic pregnancy who received preoperative transvaginal ultrasound examination and operated at the Department of Obstetrics and Gynecology at Hospital E during the period from July 2019 to October 2020. Results: common age from 30 to 39, average 34 ± 7.14; 55,7% had a history of abortion; 24.6% had a history of having GEU. On admission, 11.5% of patients had shock, abdominal pain 96.7%, delayed menstruation 77.0% and vaginal bleeding 60.6%. Clinical examination 63.9% of patients has pain when moving the uterus, with pain when examination at a deadlock 50.8%, adnexa with mass 41.0%, abdominal wall reaction 31.1% and 14,7% uterus bigger than normal. The average β hCG concentration was 2.235 ± 4.767mIU/mL; min: 44.9 mIU/mL; max: 35,176mIU/mL. Atypical fetal sac image accounts for 78.7%; typical 9.8%. The size of the pregnancy mass from 20-40mm accounted for 39.3%. The image of Douglas fluid accounted for 73,8%, consistent with the surgical results, showing that intra-abdominal blood accounted for 74.2%, uterine fluid accounted for 22.9%, and abdominal fluid accounted for 60.6%. The average  thickness of  the  endometrium is  8.93 ± 4.35 mm (5-25 mm),  over  8mm  thick accounting for 55.7%. The correct diagnostic value of direct and indirect signsreached 100%. Conclusion: Transvaginalultrasound has high value, helpingclinicalearlydetection and timelytreatment of ectopicpregnancy.

Article Details

Keywords

GEU, transvaginalul trasoundexamination, GEUultrasound

References

1. Nguyen Duy Anh, "Ectopic pregnancy", Textbook of Obstetrics and Gynecology Volume 1, Vietnam National University press, Hanoi, (2016) pp. 172-179 (in Vietnamese).
2. Cao Xuan Hung, "Research on ectopic pregnancy surgery at Huu Nghi Nghe An General Hospital", Hanoi Medical University (2019) (in Vietnamese).
3. Đinh Hue Quyen, "Comments on clinical, subclinical and management of ectopic pregnancy operated at the National Hospital of Obstetrics and Gynecology from January 2014 to June 2014", Hanoi Medical University (2015) (in Vietnamese).
4. Nguyen Thi Bich Thanh, "Diagnosis and treatment of ectopic pregnancy at the National Hospital of Obstetrics and Gynecology in 2006", Hanoi Medical University, (2006) (in Vietnamese).
5. Đinh Thi Oanh, "Review of diagnosis and treatment of ectopic pregnancy by laparoscopic surgery at Thai Binh Obstetrics and Gynecology Hospital in 2013", Hanoi Medical University, (2015) (in Vietnamese).
6. Ta Quoc Ban, "Comment on clinical, paraclinical characteristics and treatment methods for ectopic pregnancy at Thai Nguyen Central General Hospital and Hospital of Thai Nguyen Medical University", Mountainous Medicine and Pharmacy Newsletter, School Thai Nguyen Medical University, 1 (3), (2016) (in Vietnamese).
7. Ha Ngoc Đai et all, "Research on diagnosis and treatment of ectopic pregnancy at Bac Giang Obstetrics and Children's Hospital in 2015-2016", Mountainous Medicine and Pharmacy Newsletter, Thai Nguyen University of Medicine and Pharmacy, 3,(2016) pp. 19-25 (in Vietnamese).
8. Đinh Thu Huong, "Study on the results of surgical treatment of tubal pregnancy at Hai Phong Obstetrics and Gynecology Hospital", Thesis of Master of Medicine, Hanoi Medical University, (2018) (in Vietnamese).