Department of Gynecology and Obstetrics, Amasya University Sabuncuoğlu Şerefeddin Training and Research Hospital, Amasya-Türkiye.
Department of Gynecology and Obstetrics, Verisdelli Ponti Hospital, Lecce-Italy.
Ulus Travma Acil Cerrahi Derg. 2022 Nov;28(11):1604-1608. doi: 10.14744/tjtes.2021.93903.
The aim of the study was to evaluate the demographic data, clinical findings, ectopic pregnancy (EP) localization (left or right-sided), and treatments versus clinical presentation of tubal pregnancies (TP) with or without acute abdomen.
Pregnants with a diagnosis of TP, selected for acute abdomen or not, were evaluated and compared, concerning EP local-ization (right/left), age, parity, symptoms (menstrual delay, vaginal bleeding, and groin pain), initial β-hCG value, endometrial thickness, presence of rupture, and treatment type (methotrexate and surgery).
On a total of 122 pregnants with TP, 32 showed acute abdomen, 45 had a TP located in the right tube and 32 in the left tube. In the acute abdomen group, parity, initial β-hCG level, and endometrial thickness were greater than non-acute abdomen group. In addition to this, the frequency of bleeding complaints, right-sided TP, rupture, and need for surgery were higher, than to the non-acute abdomen group. The frequency of the previous EP and methotrexate treatment was higher in those with the left-sided TP compared to those with the right-sided TP.
EP rate, in patients with TP who applied to the emergency department with acute abdominal symptoms, was mostly located in the right tube with greater frequency of salpingectomy in open surgery.
本研究旨在评估有或无急腹症的输卵管妊娠（TP）患者的人口统计学数据、临床发现、异位妊娠（EP）定位（左侧或右侧）以及治疗方法与临床表现。
选择有或无急腹症的诊断为 TP 的孕妇进行评估和比较，观察 EP 定位（右侧/左侧）、年龄、产次、症状（月经延迟、阴道出血和腹股沟疼痛）、初始β-hCG 值、子宫内膜厚度、破裂情况以及治疗类型（甲氨蝶呤和手术）。
在总共 122 例 TP 孕妇中，32 例出现急腹症，45 例 TP 位于右侧输卵管，32 例位于左侧输卵管。在急腹症组中，产次、初始β-hCG 水平和子宫内膜厚度大于非急腹症组。此外，急腹症组的出血症状、右侧 TP、破裂和手术需求的频率高于非急腹症组。与右侧 TP 相比，左侧 TP 的患者既往 EP 和甲氨蝶呤治疗的频率更高。
在因急腹症就诊于急诊科的 TP 患者中，EP 发生率大多位于右侧输卵管，开腹手术中输卵管切除术更为常见。
