Đánh giá kết quả sớm của phẫu thuật điều trị chửa vòi tử cung tại Bệnh viện Thanh Nhàn năm 2022 - 2023

Abstract

Objective: To evaluate the results of surgical treatment of ectopic pregnancy in the salpinx at Thanh Nhan Hospital in 2022-2023. Subject and method: A cross-sectional, retrospective study of 205 patients diagnosed with ectopic pregnancy in the salpinx and treated surgically at the Department of Obstetrics and Gynecology, Thanh Nhan Hospital from July 1, 2022 to December 31, 2023. Result: The mean age of the study group was 33.4 ± 9.5, 46.8% were in the 31-40 age group. 10.2% had previous ectopic pregnancy. 89.7% of patients had abdominal pain; 75.6% had late period and 61.5% had abnormal uterine bleeding. Most patient had a combination of 2/3 of these symptoms, and 42.4% had the classic triad. The most common location of the gestational sac on the fallopian tube was the infundibulum (40.9%); the average size of the gestational sac was 4.1cm; most cases were ≥ 3cm. 183/205 (89.3%) patients were treated by laparoscopic surgery. Open surgery was often due to patients coming to the hospital in a state of hemorrhagic shock and peritoneum adhesion. 98.5% of cases underwent salpingectomy. The average length of hospital stay was 5.2 ± 1.1 days, longer in the open surgery group. Conclusion: Patients with all 3 symptoms of pain-abnormal bleeding-delayed menstruation accounted for the highest proportion. The larger the size of the gestational sac, the ruptured sac before surgery and the amount of blood in the abdomen > 1000ml increased the risk of open surgery and increased the treatment time.