HAKAN PEKER, Ayşe GÜRBÜZ, Ali GEDİKBAŞI, Murat MENGÜLLÜOĞLU, Ateş KARATEKE

Ektopik gebelik: 225 olgunun incelenmesi

Amaç: 1997-2002 tarihleri arasında Zeynep kamil Kadın ve Çocuk Hastalıkları Hastanesi'nde ektopik gebelik tanısı alıp laparoskopi ve laparotomi uygulanmış olguların operasyon öncesi ve sonrası bulgularını değerlendirmek. Geraç ve Yöntem: Ektopik gebelik tanısı ile opere edilmiş 225 hastanın medikal kayıtları retrospektif olarak incelendi. Ortalama $\beta$ yaş, gravida, parite, preoperatif ve postoperatif hCG, hemoglobin seviyeleri, komplikasyon oranları, ultrasonografi ve küretaj bulgularının doğruluk oranları, operasyon süreleri, preoperatif ve postoperatif gözlem süreleri, batın içi kanama miktarları değerlendirildi. Bulgular: İncelenen 225 olgunun 79'u (%35.1) aparoskopi, 146'sı (%64.9) ise laparotomi ile tedavi edildi. Laparoskopi ve laparotomi grupları arasında ortalama yaş, gravida, parite, sistolik ve diyastolik kan basıncı, nabız dakika sayısı, operasyon öncesi ve sonrası ortalama â-hCG değerleri, komplikasyon oranları, ultrasonografi ve küretaj bulgularının doğruluk oranları açısından farklılık izlenmedi (p>0.05). Ortalama postoperatif hemoglobin miktarı (p

Anahtar Kelimeler:

Geriyedönük çalışma, Gebelik, ektopik, Laparotomi, Laparoskopi, Ameliyat sonrası komplikasyonlar

Ectopic pregnancy: Review of 225 cases

Objective: To evaluate preoperative and postoperative characteristics of the patients who had undergone laparoscopy or laparotomy with diagnosis of ectopic pregnancy in Zeynep Kamil Children and Women's Hospital between 1997 and 2002. Material and methods: The medical files of 225 patients who had undergone surgical procedure with diagnosis of ectopic pregnancy were reviewed retrospectively. Mean age, mean gravidity, mean parity, mean preoperative and postoperative B hCG, hemoglobine levels, complication rates, confirmity rates of ultrasonografic and curettage findings, mean operative times, mean preoperative and postoperative observation times, intraabdominal haemorrhage amounts were evaluated. Results: 79 (%35.1) of the 225 patients had undergone laparoscopy, the remaining 146 patients (%64.9) had undergone laparotomy. There were not any significant differences in mean age, mean gravidity, mean parity, mean sistolic and diastolic blood pressures, mean pulse rate, mean preoperative and postoperative $\beta$hCG levels, complication rates, confirmity rates of ultrasonografic and curettage findings with ectopic pregnancy between two groups (p>0.05). Mean postoperative hemoglobine levels (p

Keywords:

Retrospective Studies, Pregnancy, Ectopic, Laparotomy, Laparoscopy, Postoperative Complications,

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