Omokanye L O, Balogun O R, Salaudeen A G, Olatinwo A W, Saidu R
Department of Obstetrics and Gynaecology,University of Ilorin Teaching Hospital, Ilorin.
Niger Postgrad Med J. 2013 Dec;20(4):341-5.
This is to study the incidence, predisposing factors, clinical presentation and management of ectopic pregnancy that presented over a four year period.
PATIENTS, MATERIALS AND METHODS: This is a retrospective study of 98 ectopic pregnancies managed at the gynaecological unit of University of Ilorin Teaching Hospital, Ilorin from 1st January 2004 to 31st December 2007. Information was obtained from the case notes, theatre and labour ward registers.
A total of 10,054 deliveries were recorded while 1,430 gynaecological patients were admitted. Ninety eight patients had ectopic gestation accounting for 1% of all deliveries and 6.9% of all gynaecological admissions. The peak age group was 25-29 years (33%); 70 (74.5%) were married and 16 (17%) were students mostly undergraduates. Previous pelvic inflammatory disease 78 (83%), previous pelvic surgery 7 (7.4%) and previous history of ectopic pregnancy 2 (2.1%) were the most common risk factors in the patients. Lower abdominal pain 90 (95.7%), missed period 82 (87.2%), dizziness/fainting attack 57( 60.6%) and vaginal bleeding 50 (53.2%) were the predominant symptoms at presentation. There were 2 (2.1%) bilateral ampullary tubal ectopic with one unruptured ec- topic which was treated with linear salpingostomy. Only one (1.1%) case of heterotrophic pregnancy. Open abdominal surgery was the treatment employed in all the patients. No Mortality was recorded.
The incidence of ectopic pregnancy can be reduced by putting in place measures to reduce induced abortion and pelvic inflammatory disease. In addition, early presentation, prompt diagnosis and efficient blood transfusion services will decrease the morbidity and mortality associated with ectopic pregnancy.
本研究旨在探讨四年期间异位妊娠的发病率、诱发因素、临床表现及治疗方法。
患者、材料与方法：这是一项回顾性研究，对2004年1月1日至2007年12月31日在伊洛林大学教学医院妇科接受治疗的98例异位妊娠病例进行分析。资料来源于病例记录、手术室及产房登记册。
共记录分娩10,054例，收治妇科患者1,430例。98例患者诊断为异位妊娠，占分娩总数的1%，妇科住院患者的6.9%。发病高峰年龄为25 - 29岁（33%）；70例（74.5%）已婚，16例（17%）为学生，多为本科生。既往盆腔炎78例（83%）、既往盆腔手术7例（7.4%）、既往异位妊娠史2例（2.1%）是最常见的危险因素。就诊时主要症状为下腹痛90例（95.7%）、停经82例（87.2%）、头晕/晕厥发作57例（60.6%）及阴道流血50例（53.2%）。双侧壶腹部输卵管异位妊娠2例（2.1%），其中1例未破裂异位妊娠行输卵管线形切开术治疗。仅1例（1.1%）为异位妊娠合并正常妊娠。所有患者均采用开腹手术治疗。无死亡病例记录。
采取措施减少人工流产和盆腔炎可降低异位妊娠的发病率。此外，早期就诊、及时诊断及有效的输血服务将降低异位妊娠相关的发病率和死亡率。
