NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN CHỬA NGOÀI TỬ CUNG ĐIỀU TRỊ TẠI BỆNH VIỆN QUÂN Y 103 TỪ THÁNG 6/2020 ĐẾN THÁNG 5/2022

Abstract

Objectives: Comment on clinical and subclinical characteristics of patients with ectopic pregnancy treated at Military Hospital 103 from June 2020 to May 2022.Methods: Retrospective study, prospective, descriptive analysis on 111 patients with ectopic pregnancy, hospitalized at Military Hospital 103 from June 01, 2020 to May 31, 2022. During the study period, 3 methods were applied to treat ectopic pregnancy: laparotomy, laparoscopic surgery and medical treatment with methotrexate. Results: The mean age of ectopic pregnancy is 32.68 ± 5.55. Patients with 2 children accounted for the rate of 54.95%. 45.05% of patients have a history of abortion, 26.23% of patients have a history of abdominal surgery. The most common symptom of abdominal pain accounted for 95.5%, vaginal bleeding accounted for 67.57%, delayed menstruation accounted for 56.76%. The most common physical symptoms were painful swelling in the appendages 87.39%, with full pain 73.87%, peritoneal reaction/abdominal wall reaction accounted for 67.57%, and the uterus was larger than normal. accounted for 38.74%, perforated low areas accounted for 37.84%. Shock symptoms only accounted for 3.6%. Patients with βhCG concentration from 1000-3000mUI/ml accounted for the highest proportion (41.38%), βhCG concentration from 3000-5000mUI/ml accounted for 27.59%, βhCG concentration below 1000mUI/ml accounted for 27.59%. 24.14%, patients with βhCG levels from 5000 or more accounted for 6.9%. 100% of patients treated with MTX had βhCG levels below 5000mUI/mml. The typical ultrasound image of the ectopic amniotic sac accounts for the highest rate of 55.86%, and the ultrasound image of the parauterine mass accounts for 44.14%. Ectopic pregnancy size less than 3cm accounted for 79.28%, mass 3-5cm accounted for 20.72%.