Nhận xét các phương pháp điều trị chửa ngoài tử cung tại Bệnh viện Phụ sản Hà Nội, quý IV, năm 2017

Abstract

Objective: To review treatment methods for ectopic pregnancy at Hanoi Obstetrics and Gynecology Hospital in the fourth quarter of 2017. Subject and method: The retrospective cross-sectional descriptive study selected women with diagnosis of ectopic pregnancy treated at Hanoi Obstetrics and Gynecology Hospital in the fourth quarter of 2017. Result: The rate of surgical treatment was 76.44%: Laparoscopic surgery was more common than laparotomic surgery (74.87% versus 1.57%); medical treatment accounted for 23.56%. 4.11 percent of patients had their fallopian tubes preserved. The hospital length of stay for each treatment was: Laparoscopic surgery (3.7 days), laparotomy (7.5 days); medical treatment (10.7 days). The failure and complication rates of the methods are: Laparoscopic surgery (0.52%); medical treatment (4.19%); Severe intraoperative blood loss due to bleeding (2.09%). Conclusion: Laparoscopic surgery is the main method of treating ectopic pregnancy at Hanoi Obstetrics and Gynecology Hospital in 2017 (74.87%). laparotomic surgery was only assigned when there was no indication for laparoscopic surgery (accounting for 1.57%). Medical treatment of ectopic pregnancy with Methotrexate was used when eligible, this method was indicated in 23.56% of patients and had a success rate of 82.22%.