Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center
Yıl: 2020 Cilt: 58 Sayı: 1 Sayfa Aralığı: 44 - 48 Metin Dili: İngilizce İndeks Tarihi: 13-11-2020
Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center
Öz: Aim : We have retrospectively analyzed the patients followed-up in our department upon tentative diagnosis of EP in order to evaluate the treatment success of surgical approaches and MTX.Method: This is a retrospective study analyzing the data of 79 patients hospitalized upon tentative diagnosis of EP at MuglaSıtkıKocman University Education and Research Hospital, Department of Obstetrics and Gynecology between 01/01/2018-01/10/2019. Success rates of surgical treatment and medical treatment were compared.Results: 79 patients were treated upon the pre-diagnosis of EP in our department. In 10 patients (12.65%), EP regressed during follow-up. Thirty-six patients (45.56%) were treated surgically, 29 patients (39.7%) were treated medically, and the remaining 4 had CSEP, out of whom 3 (3.79%) patients underwent D&C and 1 patient (1.26%) was treated with systemic MTX injection. Disgerminoma was diagnosed in one patient who underwent surgical treatment.Conclusion: Due to the difficulties in its diagnosis and variations in treatment methods, EP must always be well-acknowledged by the obstetricians. CSEP diagnosis must be kept in mind along with the increasing Cesarean section rates over the recent years. When surgical treatment is opted, it should be remembered that LS is the current approach to surgery.
Anahtar Kelime: Ektopik Gebelikte Tedavi Yaklaşımları: Tersiyer Bir Referal Merkezin Retrospektif Analizi
Öz: Amaç: Ektopik gebelik ön tanısı ile kliniğimizde takip edilen hastaların, cerrahi yaklaşımlarını ve Metotreksat uygulamasının tedavi başarısını değerlendirmek üzere retrospektif olarak analiz ettik. Yöntem: 01/01/2018-01/10/2019 tarihleri arasında Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği'nde ektopik gebelik öntanısı ile takip edilen 79 hastanın verileri analiz edildi. Cerrahi tedavi ve tıbbi tedavi başarı oranları karşılaştırıldı. Bulgular: Çalışmamızda, 79 hasta ektopik gebelik ön tanısı ile takip edildi. 10 hastada (% 12.65) ektopik gebelik takip sırasında spontan olarak geriledi. 36 hasta (% 45.56) cerrahi olarak tedavi edildi, 29 hasta (% 39.7) tıbbi olarak tedavi edildi. 4 hastada Sezaryen Skar ektopik gebeliği mevcuttu. Bunların 3'ü (% 3.79) D/C, 1’i (% 1.26) sistemik MTX enjeksiyonu tedavi edildi. Cerrahi tedavi uygulanan bir hastaya disgerminom tanısı konuldu. Sonuç: Teşhisteki zorluklar ve tedavi yöntemlerindeki farklılıklar nedeniyle, ektopik gebelik her zaman kadın doğum uzmanları tarafından iyi bilinmelidir. Sezaryen skar ektopik gebeliği ihtimali, son yıllarda artan sezaryen oranları ile birlikte akılda tutulmalıdır. Cerrahi tedavi tercih edildiğinde, LS'nin cerrahi yaklaşımın güncel yaklaşımı olduğu unutulmamalıdır
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kıncı M, GÖKBEL İ, Akın Gökbel D, SIVASLIOGLU A (2020). Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. , 44 - 48. |
| Chicago | Kıncı Mehmet Ferdi,GÖKBEL İSMAİL,Akın Gökbel Deniz,SIVASLIOGLU AHMET AKIN Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. (2020): 44 - 48. |
| MLA | Kıncı Mehmet Ferdi,GÖKBEL İSMAİL,Akın Gökbel Deniz,SIVASLIOGLU AHMET AKIN Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. , 2020, ss.44 - 48. |
| AMA | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. . 2020; 44 - 48. |
| Vancouver | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. . 2020; 44 - 48. |
| IEEE | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A "Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center." , ss.44 - 48, 2020. |
| ISNAD | Kıncı, Mehmet Ferdi vd. "Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center". (2020), 44-48. |
| APA | Kıncı M, GÖKBEL İ, Akın Gökbel D, SIVASLIOGLU A (2020). Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. Ege Klinikleri Tıp Dergisi, 58(1), 44 - 48. |
| Chicago | Kıncı Mehmet Ferdi,GÖKBEL İSMAİL,Akın Gökbel Deniz,SIVASLIOGLU AHMET AKIN Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. Ege Klinikleri Tıp Dergisi 58, no.1 (2020): 44 - 48. |
| MLA | Kıncı Mehmet Ferdi,GÖKBEL İSMAİL,Akın Gökbel Deniz,SIVASLIOGLU AHMET AKIN Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. Ege Klinikleri Tıp Dergisi, vol.58, no.1, 2020, ss.44 - 48. |
| AMA | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. Ege Klinikleri Tıp Dergisi. 2020; 58(1): 44 - 48. |
| Vancouver | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center. Ege Klinikleri Tıp Dergisi. 2020; 58(1): 44 - 48. |
| IEEE | Kıncı M,GÖKBEL İ,Akın Gökbel D,SIVASLIOGLU A "Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center." Ege Klinikleri Tıp Dergisi, 58, ss.44 - 48, 2020. |
| ISNAD | Kıncı, Mehmet Ferdi vd. "Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center". Ege Klinikleri Tıp Dergisi 58/1 (2020), 44-48. |
