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Date Published: 13/01/2022
Abstract Views: 546
Views PDF: 959
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

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