[Epidemiologic aspects of extrauterine pregnancy and therapeutic approach. Apropos of 200 cases in a continuous series].
The study of 200 files has enabled to define a few epidemiological aspects of ectopic pregnancy: large frequency of this pregnancy with ectopic location, for 42 births, in an average, occurrence in young women, between 25 and 35 years, hypofertile, nulli or primiparous, importance of utero-adnexal infections and their sequelae, found in 50% of the cases, and linked to the increase of sexually transmissible diseases and the frequency of voluntary interruptions of pregnancy, importance also of histological lesions of the isthmo-interstitial segment of the tube. The different therapeutic approaches are presented: the authors explain the reasons for a deliberately conservative therapy (in 82% of the cases) without compromising the maternal prognosis: absence of anatomical abnormality justifying the excision of the tube, or, often bilateral anatomical lesions requiring a subsequent radiological work-up, and a secondary treatment. Finally, desire of another pregnancy in a population which is infertile, most of the time, and of which the mean age is 28 years.
Gillet
J Y
JY
Service de Gynécologie-Obstétrique, Hôpital Saint-Roch, Nice.
Olivero
J F
JF
Gabaude
B
B
Simon
E
E
Mourey
C
C
Grimaldi
M
M
Marigot
M
M
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies
Aspects épidémiologiques de la grossesse extra-utérine et attitude thérapeutique. A propos de 200 cas en série continue.