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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Study of diagnosis and management of ectopic pregnancy
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Study of diagnosis and management of ectopic pregnancy

机译：宫外孕的诊断与治疗研究

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Background: Diagnosis of ectopic pregnancy was frequently missed. Aim of the study was to determine the clinical presentation, and treatment associated with ectopic pregnancy. Methods: This is a prospective study which was carried out at Obstetrics and Gynaecology department, GMERS SOLA civil hospital from August 2017 to October 2018. Total 416 patients were admitted during study period out of them 50 patients diagnosed with ectopic pregnancy were enrolled in the study and information was collected and analysed. Results: 80% patients were between the age group of 21-30 years. 56% patients were nulliparous. Amenorrhea (92%) with lower abdominal pain (94%) is the most common presenting symptom. 26% of patients show typical triad of amenorrhea, abdominal pain and bleeding per vagina. UPT and USG were most commonly performed investigations. 96% cases showed UPT positive. 100% USG showed adnexal pathology. Serum beta-hCG was done in 37 patients as an aid for diagnosis and to decide the line of management. Conservative medical management with Injection MTX was done in 4 patients of which 1 patients required laparotomy later on. Surgical management was done in 90% of patients. Laparoscopic management was done in 54% of cases. Conclusions: Early diagnosis and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.
机译：背景：经常漏诊异位妊娠。该研究的目的是确定异位妊娠的临床表现和治疗方法。方法：这是一项前瞻性研究，于2017年8月至2018年10月在GMERS SOLA民用医院妇产科进行。研究期间共收治416例患者，其中50例诊断为异位妊娠的患者入选本研究。并收集和分析信息。结果：80％的患者年龄在21-30岁之间。 56％的患者是未产的。闭经（92％）伴下腹痛（94％）是最常见的症状。 26％的患者表现出典型的三联症，阴道痛和每个阴道出血。 UPT和USG是最常进行的调查。 96％的病例显示UPT阳性。 100％USG表现为附件病理。在37例患者中进行了血清β-hCG检测，以帮助诊断和确定治疗方案。注射MTX的保守医学治疗在4例患者中进行，其中1例患者随后需要进行剖腹手术。 90％的患者进行了手术治疗。 54％的病例进行了腹腔镜处理。结论：以保守或手术治疗的形式进行早期诊断和及时干预将有助于降低异位妊娠的发病率和死亡率。

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