Nhận xét kết quả xử trí chửa ngoài tử cung tại Bệnh viện Phụ sản Thái Bình năm 2023=Ectopic pregnancy treatment at Thai Binh Maternal hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Hoành Đinh

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.102-107

Bộ sưu tập: Báo, Tạp chí

ID: 243998

Thêm vào giỏ

Nhận xét kết quả xử trí chửa ngoài tử cung tại Bệnh viện Phụ Sản Thái Bình. Phương pháp: Nghiên cứu mô tả tiến cứu các trường hợp được chẩn đoán chửa ngoài tử cung và được điều trị tại Bệnh viện Phụ sản Thái Bình từ 01/01/2023 đến 30/06/2023. Kết quả: Có tổng số 158 trường hợp chửa ngoài tử cung được tuyển chọn vào trong nghiên cứu. Độ tuổi trung bình của nhóm nghiên cứu là 33,8 ± 6,3 tuổi. Trong 125 trường hợp CNTC ở VTC, đoạn bóng VTC chiếm tỉ lệ cao nhất 92,8%, đoạn góc sừng, đoạn eo chiếm 3,2%, đoạn kẽ chiếm tỉ lệ thấp nhất đạt 0,9%. Bệnh nhân có biểu hiện choáng có 10 trường hợp chiếm 6,3%, không có bệnh nhân bị thiếu máu vừa và nặng. Điều trị nội khoa bằng MTX chiếm 15,2%
trong đó phẫu thuật nội soi chiếm tỷ lệ cao nhất là 78,5%
mổ mở chiếm tỷ lệ thấp nhất 0,6%, các trường hợp chửa ngoài tử cung thoái triển chỉ theo dõi mà không cần điều trị chiếm tỷ lệ 2,5%. Có 5 trường hợp điều trị bằng hút thai dưới hướng dẫn siêu âm chiếm 3,2%. Có bốn trường hợp phải truyền máu, trong khi đó 79,2% trường hợp phải phẫu thuật có khối thai chưa vỡ và 20,8% có khối thai đã vỡ. Kết luận: Tỉ lệ điều trị CNTC tại Bệnh viện Phụ Sản Thái Bình bằng phương pháp phẫu thuật chiếm đa số, trong đó 78,5% các ca được phẫu thuật nội soi. Có 20,8% các trường hợp có khối thai đã vỡ, vì thế cần tăng cường các biện pháp giáo dục sức khỏe sinh sản nhằm nâng cao tỉ lệ người có CNTC đi khám sớm hơn.To describe the management of ectopic pregnancy at the Thai Binh Maternity Hospital.Method: This was a retrospective study of women who were diagnosed with ectopic pregnancy at Thai Binh Maternal Hospital during Jan 01 to June 30, 2023. Results: A total of 158 women with ectopic pregnancy were recruited in the study. The mean age of the study group was 33.8 ± 6.3 years. Ten women had shock symptoms (6.3%) while no woman presented with moderate or severe anemia. There were 15.2% women treated medically with MTX while laparoscopic surgery was performed in 78.5% of the group. Regressive ectopic pregnancy that required no treatment occurred in only 2.5% of the women. There were five women whose ectopic pregnancies were aspirated under ultrasound guidance (3.2%). There were four cases who required blood transfusions, while 79.2% of those requiring surgery had an unruptured and 20.8% had a ruptured ectopic pregnancy.Conclusions: The majority of women with ectopic pregnancy at Thai Binh Maternity Hospital were treated surgically
most cases underwent laparoscopy. In 20.8% of cases, the ectopic pregnancy had been ruptured. This result highlighted the need to strengthen reproductive health education measures to facilitate early medical support for those who with signs of ectopic pregnancy.

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