Comparison of Ectopic Pregnancy Treatment Modalities: Experience from a Tertiary Center
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kuwait Medical Assoc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives: To review and analyze the outcomes of various treatment modalities in women with ectopic pregnancy (EP) in a tertiary center between January 2006 and February 2011 Design: Retrospective study Setting: Duzce University Hospital, Turkey Subjects and Methods: The medical records of 116 women diagnosed with EP were reviewed retrospectively. Women were grouped based on the treatment modality: Expectant (Group I), Medical treatment with methotrexate (Group II) and Surgical (salpingostomy and salpingectomy) (Group III). Demographic characteristics were analyzed and the success rates between the groups were compared. Intervention: None Main Outcome Measures: Success rates between groups based on treatment modality Results: Success rates for expectant, medical management with single dose of methotrexate, salpingostomy and salpingectomy were 66.7%, 79%, 92.7% and 100%, respectively. There was no difference between the success rates of laparoscopic salpingostomy and single dose methotrexate (p = 0.246). Salpingectomy was more successful compared to expectant and medical managements (p = 0.003 and p = 0.040, respectively). Conclusion: The highest success rate in EP was achieved by surgical treatment. However, expectant and medical treatment may eliminate the need for surgery in selected cases with low and / or decreasing initial beta-hCG levels.
Açıklama
WOS: 000315620900008
Anahtar Kelimeler
ectopic pregnancy, expectant management, methotrexate therapy, surgical treatment
Kaynak
Kuwait Medical Journal
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
45
Sayı
1
