Servikal ve uterin kanal ile ilişkili tubal olmayan ektopik gebeliklerin yönetimi: tek merkez sekiz yıllık deneyim

Amaç: Servikal ve uterin kanal ile ilişkili tubal olmayan ektopik gebeliklerin (NTEP) tanı ve tedavisini tartışmak.Gereç ve Yöntem: Bu kesitsel retrospektif çalışmada, 2009-2017 yılları arasındaki servikal, açısal (veya kornual), skar ve servikoistmik gebelikleri hastane kayıtlarımızdan araştırdık ve 5-13 hafta arasında 112 vaka belirledik.Bulgular: Skar, servikal, açısal (veya kornual) ve servikoistmik ektopik gebelik gruplarında sırasıyla 70, 20, 17 ve 5 kadın vardı. Dört grup arasında gravite, parite, postoperatif hastanede kalış süresi, başvuru şikayetleri, önceki sezaryen ve tedavi yöntemleri karşılaştırıldığında, anlamlı fark bulundu.Sonuç: Servikal ve uterus kanalı ile ilişkili NTEP'de cerrahi yaklaşım birinci basamak tedavi seçeneği olarak düşünülebilir. Yüksek komplikasyon potansiyeli nedeniyle erken teşhis ve üçüncü basamak sağlık merkezlerine zamanında sevk çok önemlidir.

Anahtar Kelimeler:

Angular gebelik, Servikal gebelik, Serviko-istmik gebelik, Skar gebelik, Ektopik gebelik

Management of non-tubal ectopic pregnancies associated with cervical and uterine canal: single-centre eight-year experience

Aim: To discuss the diagnosis and treatment of non-tubal ectopic pregnancies (NTEP) associated with the cervical and uterine canal.Materials and Methods: In this cross-sectional retrospective study, we analyzed our hospital records in terms of cervical, angular (or cornual), scar, and cervico-isthmic NTEP from 2009 to 2017 and identified 112 cases between 5 and 13 weeks.Results: There were 70, 20, 17, and 5 women in the scar, cervical, angular (or cornual), and cervico-isthmic ectopic pregnancy groups; respectively. The gravity, parity, postoperative hospital stay length, admission complaints, previous cesarean section and treatment methods were compared among the four groups, a significant difference was found.Conclusion: The surgical approach can be considered as the first-line treatment option in NTEP associated with the cervical and uterine canal. Due to the high potential for complications, early diagnosis and timely referral to tertiary health centres are crucial.

Keywords:

Angular pregnancy, Cervical pregnancy, Cervico-isthmic pregnancy, Ectopic pregnancy, Scar pregnancy,

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