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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Epidemiology and Management of Ectopic Pregnancy in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Southeast, Nigeria
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Epidemiology and Management of Ectopic Pregnancy in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Southeast, Nigeria

机译：尼日利亚东南部阿巴卡里奇亚历克斯·埃库维姆联邦大学教学医院的流行病学和宫外孕处理

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Background : Ectopic pregnancy is a common cause of maternal morbidity and mortality in the 1 ~( st ) trimester of pregnancy; without timely diagnosis and intervention, ruptured ectopic pregnancy can become a life threatening condition. Objective : This study aim s to give baseline indices on the incidence, clinical presentation, risk factors and the management of cases of ectopic pregnancy that presented in Alex Ekwueme Federal University Teaching Hospital, Abakaliki over a 5-year period. Materials and Method : This is a 5 - year retrospective study of patients who were diagnosed with ectopic pregnancy between January 1 ~( st ) 2012 and December 31 ~( st ) 2016. The statistical analysis was done using SPSS version 22. Result : During the study period, there were 11,932 deliveries while 7725 Gynaecology patients were admitted. Over the same period there were 156 patients diagnosed and managed for ectopic pregnancy, accounting for 1.31% of all deliveries and 2.0% of all Gynaecological admissions. The modal age group was 26 - 30 years 68 (43.6%), 122 (78.2%) were married, while 34 (21.7%) were single. Nulliparous were 41 (26.3%) and primiparous were 33 (21.2%). The commonest presenting complaints were lower abdominal pain and amenorrhea, and the commonest identified risk factor was previous pelvic inflammatory disease. Most of the cases were ruptured prior to presentation and partial salpingectomy was the management in all tubal pregnancy while two cases were unruptured and had salpingostomy and another case was abdominal pregnancy and had exploratory laparotomy only. Out of 156 women that presented with ectopic pregnancy, 8 (5.1%) died before surgery could be done due to late presentation. Fifty-seven women presented in a state of shock and 9 (5.8%) of the cases were complicated with acute renal failure. Conclusion : Ruptured ectopic pregnancy is a major cause of maternal morbidity and early pregnancy loss. Late presentation is a common feature in our environment ; hence widespread advocacy on case identification and early presentation is urgently needed.
机译：背景：异位妊娠是孕妇在妊娠的前三个月发病和死亡的常见原因。如果不及时诊断和干预，宫外孕破裂可能会危及生命。 目的：本研究旨在提供基线指数，以显示在5年时间内在阿巴卡利基的Alex Ekwueme联邦大学教学医院就诊的异位妊娠的发生率，临床表现，危险因素和处理情况。 材料和方法：这是一项为期5年的回顾性研究，研究对象为2012年1月1日至2016年12月31日之间被诊断为异位妊娠的患者。采用SPSS 22版进行统计分析。 结果：在研究期间，分娩了11,932例，其中7725例妇科患者入院。在同一时期，有156名经诊断和处理过异位妊娠的患者，占所有分娩的1.31％和所有妇科住院患者的2.0％。模态年龄组为26-30岁，已婚68岁（43.6％），已婚122岁（78.2％），单身34岁（21.7％）。卵母细胞为41（26.3％），初产卵为33（21.2％）。主诉最常见的是下腹痛和闭经，最常见的危险因素是先前的盆腔炎。大多数病例在就诊前就已破裂，所有输卵管妊娠均需行部分输卵管切除术，而两例未破裂并行输卵管造口术，另一例为腹部妊娠且仅进行探查性剖腹术。在156名异位妊娠妇女中，有8名（5.1％）因晚期妊娠而在手术前死亡。有57名妇女处于休克状态，其中9名（5.8％）并发急性肾衰竭。 结论：异位妊娠破裂是孕产妇发病和早期妊娠流失的主要原因。迟交是我们环境中的一个共同特征;因此，迫切需要在案件识别和及早陈述方面进行广泛宣传。

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