Some opinions of 45 cases of late diagnosed ectopic pregnancy
- Author:
Hoa Tien Vuong
- Publication Type:Journal Article
- Keywords:
ectopic pregnancy
- MeSH:
Pregnancy, Ectopic;
diagnosis
- From:Journal of Practical Medicine
2000;392(12):54-57
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
In analyzing 45 cases of ectopic pregnancy lately diagnosed with serum HCG determination, transvaginal ultrasonography, the mean time for laparoscopy and the average time of hospitalization were respectively 4,2+/-2,9 and 8,8 +/- 3,6 days. - Late menstruation took hold of 80% and vaginal bleeding at 70%. Pain of the hypogastrium spreading to the lower parts (73,3%) was a specific symptom (P< 0,01). More than a half (51,1%) of cases had the uterus greater than usual, however there were only 64,4% having a mass occurred in adnexa, but the painful culde-sac sign has a high value for diagnosis(51,1%). - The uterus ultrasonography image without gestation sac took holds high rate (82,2%) had a high value of diagnosis with a sensitivity of 82,2%. Adnexal mass occurred at 77,7%, while the sign of the cul-de-sac with liquid had a high value of diagnosis, with a sensitivity rate of 77,7%.- 36/45 of cases in with beta HCG >=1000 mIU/ml (80%). - 40% of cases were obligated to make laparotomy due to former operation and 55,6% of cases with tube cracked, ruptured or aborted through the pavilion which the rate of tube resection to 84,1%
