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EKTOPİK GEBELİK TEDAVİSİ: 74 OLGUNUN RETROSPEKTİF DEĞERLENDİRİLMESİ

MANAGEMENT OF ECTOPİC PREGNANCY: A RETROSPECTİVE ANALYSİS OF 74 CASES

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Objective: To analyse different management strategies of ectopic pregnancy and their effectiveness retrospectively. Materials and methods: Seventy four patients with a diagnosis of ectopic pregnancy who applied to Celal Bayar University Obstetrics and Gynecology Department between November 2006 – July 2009 have been evaluated. Results: Forty four patients with a diagnosis of ectopic pregnancy have received methotrexate therapy, 23 patients were surgically treated and 7 patients were managed expectantly. The success rate of methotrexate was found to be 90.9% and indications for surgery were rupture and cornual pregnancy. Conclusion: Early diagnosis of ectopic pregnancy is important for the prevention of morbidity and mortality. Methotrexate treatment, surgical intervention or expectant management prove successful in correctly chosen patients with low complication rates.
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Abstract (Original Language): 
Amaç: Ektopik gebelik tedavisinde farklı olgularda farklı tedavi yaklaşımlarının ve etkinliğinin incelenmesi amacıyla retrospektif olarak olguların değerlendirilmesidir. Gereç ve yöntem: Kasım 2006 – Temmuz 2009 tarihleri arasında Celal Bayar Üniversitesi Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde ektopik gebelik tanısı alan ve tedavi edilen 74 olgu retrospektif olarak incelendi. Bulgular: Kliniğimizde ektopik gebelik tanısı almış 44 hasta sistemik metotreksat tedavisi, 23 hasta cerrahi ve 7 hasta noninvazif nonmedikal bekleyici yaklaşım ile tedavi edilmiştir. Metotreksat tedavisine yanıt %90.9 olarak bulunmuştur. Cerrahi endikasyonları rüptür ve kornual gebelik olarak saptanmıştır. Sonuç: Ektopik gebeliğin erken ve doğru tanısı mortalite ve morbiditeyi önlemek için önemlidir. Tedavide metotreksat uygulaması, cerrahi girişim ve bekleyici yaklaşım doğru hastalarda uygulandığında başarı oranları komplikasyon gelişmeden yüksek olmaktadır.
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  • 2
26-28
  • Turkish

REFERENCES

References: 

1. Alper AGO, Büyükbayrak EE, Bayramoğlu MB,
Karşıdağ AYK, Kars B, Pirimoğlu ZM, Ünal O, turan
MC.Ektopik Gebelikte Tedavi Yaklaşımları: Tersiyer
Bir Merkezin 4 Yıllık Retrospektif Analizi. Türkiye
Klinikleri J Gynecol Obst 2010;20:362-366.
2. Berek, Jonathan S. Berek & Novak's Gynecology,
Lippincott Williams & Wilkins Publications. 14th
Edition 2007
3. Canis M, Savary D, Pouly JL, Wattiez A, Mage G.
Ectopic pregnancy: criteria to decide between medical
and conservative surgical treatment? J Gynecol Obstet
Biol Reprod (Paris). 2003;32:S54-63.
4. Cho GJ, Lee SH, Shin JW, Lee NW, Kim T, Kim HJ,
Lee KW. Predictors of Success of Repeated Injections
of Single-dose Methotrexate Regimen for Tubal Ectopic
PregnancyJ Korean Med Sci 2006; 21: 86-9
5. Coste J, Job-Spira N, Aublet-Cuvelier B, Germain E,
Glowaczower E, Fernandez H, Pouly JL: Incidence of
ectopic pregnancy. First results of a population-based
register in France. Hum Reprod. 1994, 9:742-745.
6. Guvendag Guven ES, Dilbaz S, Dilbaz B, Aykan
Yildirim B, Akdag D, Haberal A Comparison of single
and multiple dose methotrexate therapy for unruptured
tubal ectopic pregnancy: a prospective randomized
study Acta Obstet Gynecol Scand. 2010; 89:889-895.
7. Hajenius PJ, Mol BW, Bossuyt PM, Ankum WM, Van
Der Veen F. Interventions for tubal ectopic pregnancy.
Cochrane Database Syst Rev 2000;CD000324.
8. Jourdain O, Hopirtean V, Saint-Amand H, Dallay D.
Fertility after laparoscopic treatment of ectopic
pregnancy in a series of 138 patients. J Gynecol Obstet
Biol Reprod (Paris). 2001;30:265-71.
9. Keith Edmonds Dewhurst’s Textbook of Obstetrics &
Gynaecology, Blackwell Publishing 2007.
10. Korhonen J, Stenman UH, Ylöstalo P Low-dose oral
methotrexate with expectant management of ectopic
pregnancy. Obstet Gynecol. 1996; 88:775-778.
11. Mol, B.W. Mol, W.M. Ankum, F. van der Veen,
Hajenius. Current evidence on surgery, systemic
methotrexate and expectant management in the
treatment of tubal ectopic pregnancy: a systematic
review and meta-analysis. Human Reproduction Update
2008,14: 309–319.
12. Mol F, Strandell A, Jurkovic D, Yalcinkaya T,
Verhoeve HR, Koks CAM, Linden PJK, Graziosi GCM,
Thurkow AL, Hoek A, Hogström L, Klinte I, Nilsson K,
Mello NM, Ankum WM, Veen F, Mol1 BWM, Hajenius
PJ for the European Surgery in Ectopic Pregnancy
(ESEP) study group. The ESEP study: Salpingostomy
versus salpingectomy for tubal ectopic pregnancy; The
impact on future fertility: A randomised controlled trial.
BMC Women's Health 2008, 8:11.
13. Murray H, Baakdah H, Bardell T, Tulandi T. Diagnosis
and treatment of ectopic pregnancy. CMAJ. 2005;
173:905-912.
14. Somunkıran A, Sarohan AR, Demirci F, Yücel O.
Ektopik gebelik nedeniyle tedavi edilen 60 olgunun
retrospektif analizi. Düzce Tip Fakültesi Dergisi 2007;
1: 5-9.
15. Stovall TG, Ling FW, Gray LA Single-dose methotrexate
for treatment of ectopic pregnancy.Obstet Gynecol.
1991;77:754-757.
16. Stovall TG, Ling FW. Expectant management of ectopic
pregnancy..Obstet Gynecol Clin North Am. 1991;
18:135-144.
17. Thia E W H, Loi K, Wang J J, Siow A. Methotrexate
treatment for ectopic pregnancy at the KK Women’s and
Children’s Hospital, Singapore. Singapore Med J 2009;
50 : 1058.
18. Turhan NO, İnegöl İ, Seçkin NC. A Three-Year Audit
of the Management of Ectopic Pregnancy. J Turkısh
German Gynecol Assoc, 2004, 5:310-313.
19. Yıldırım G, Güngördük K, Aktaş FN, Ülker V,
Sudolmuş S, Tekirdağ Aİ. Ektopik Gebelik Tedavisinde
Tek Doz Metotreksat: 85 Olgunun Değerlendirilmesi
TJOD 2007; 4: 68-71.

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