Nhận xét các đặc điểm lâm sàng và cận lâm sàng của bệnh nhân chửa ngoài tử cung tại Bệnh viện Phụ sản Hà Nội, quý IV năm 2017

Abstract

Objective: To describe clinical and paraclinical characteristics to diagnose ectopic pregnancy at Hanoi Obstetrics and Gynecology Hospital. Subject and method: The cross-sectional descriptive study selected women at reproductive age that were suspected of ectopic pregnancy at Hanoi Obstetrics and Gynecology Hospital in 2017. Result: Ectopic pregnancy was the most common disease in women of age 25 - 39 years old. About obstetrical and gynecological history, abortion and miscarriage had the highest rate (63.8%). Menstrual disorders, vaginal bleeding and abdominal pain were the most frequent clinical symptoms. In 191 ectopic pregnancy cases, vaginal examination found 101 cases having adnexal mass (52.9%), 57 cases having cervical motion tenderness (29.8%), 47 cases having pain in the pouch of Douglas (24.6%). Serum β-hCG concentrations were mainly lower than 1000IU/L (59.8%). Transvaginal ultrasonography identified inhomogenous echogenic mass (62.8%), fluid in the pouch of Douglas (41.9%) and a gestation sac with or without cardiac activity (15.2%). 93.2% of final diagnosis were made of 3 factors (clinical presentation, serum β-hCG concentrations, transvaginal ultrasonography), the other were made of 4 factors (clinical presentation, serum β-hCG concentrations, transvaginal ultrasonography and other test). Conclusion: EP diagnosis needs to combine factors of clinical presentation, serum β-hCG concentrations and transvaginal ultrasonography.