Ektopik Gebelik Klinik Seyrini ve Tedavi Sonuçlarını Etkileyen Faktörlerin Retrospektif Analizi

Aim: Ectopic pregnancy (EP) is a life-threatening serious medical condition in which the embryo implants outside the uterine cavity. Without appropriate treatment it has an increased morbidity and mortality rates. The aim of this retrospective study is to identify the incidence, clinical characteristics and treatment outcomes associated with EP in a tertiary referral center. Material and Methods: In this study, we retrospectively evaluated a total of 79 EP cases that was diagnosed and treated between 2011 and 2015 in Department of Obstetrics and Gynecology at Canakkale Onsekiz Mart University. The medical records of EP patients were retrieved from hospital patient database and recorded to the data-entry forms designed for this purpose. Results: During a 5 years period a total of 1920 deliveries with 79 EP diagnoses recorded. The incidence of EP was found to be 4.1%. The peak age group was 30-34 years (34.2%). Abdominal and/or pelvic pain (56.9%) was the most common presenting complaint. The diagnosis was mostly achieved by ultrasound and serial βhCG measurements. Medical and surgical treatments are the most common treatment options. No mortality was observed in EP patients. Conclusion: EP still considered to be a major health problem with considerable morbidity and mortality rates. Early and appropriate treatment is necessary for a favorable outcome and to avoid various complications. Greater emphasis should be laid on prevention and early detection of EP so as to give patients opportunities for tubal conservation and decreasing surgical requirement.