Evaluation of treatment outcomes for ectopic pregnancy at Thai Binh Maternity Hospital in 2024

Tóm tắt

Objective: To evaluate the treatment outcomes of ectopic pregnancy at Thai Binh Maternity Hospital in 2024.
Methods: A cross-sectional descriptive study was conducted on 155 medical records of patients diagnosed with ectopic pregnancy (EP) and treated at Thai Binh Maternity Hospital from January 1, 2024, to December 31, 2024.
Results: The average age was 35.1 ± 8.5 years. The age group of 40 and older accounted for the highest percentage (34.19%), indicating that ectopic pregnancy is more common in older women. The main symptoms included vaginal bleeding (80.65%) and abdominal pain (64.52%), while the most common physical symptom was adnexal tenderness (60.6%).
Regarding the β-hCG levels, 29.68% of patients had levels exceeding 5,000 mIU/ml, highlighting the need to monitor this level to assist in diagnosis. Ultrasound results indicated that mixed echogenic mass adjacent to the uterus was present in 77.42% of cases, and fluid in the Douglas pouch was observed in 84.84%, both of which are important signs in the diagnosis of ectopic pregnancy.
       In terms of treatment methods, laparoscopic surgery was the most common choice (83.87%), reflecting a modern treatment trend towards less invasive techniques. The condition of the pregnancy mass at the time of surgery also demonstrated the advantages of laparoscopic surgery, especially in cases where the mass was not ruptured (86.67%). These results emphasize the importance of early detection and effective management of complications to improve treatment outcomes for patients.
Conclusion: The study shows that ectopic pregnancy predominantly occurs in older women, with the highest rate in the age group ≥ 40. Symptoms of vaginal bleeding and abdominal pain are important warning signs, while ultrasound plays a crucial role in diagnosis. Laparoscopic surgery is the preferred treatment method, demonstrating superior effectiveness in managing this condition, particularly in cases of unruptured masses. The research findings underscore the importance of early detection and close monitoring to enhance treatment efficacy.