title: [Changes in the diagnosis and therapy of extrauterine pregnancy].
abstract: In a retrospective study the records of all patients with proven ectopic pregnancy during the years 1971-1973 (n = 41) and 1981-1982 (n = 59) were reviewed with regard to age, symptoms, medical history, diagnostic methods, therapy, and clinical course. Particular attention was given to endocrine diagnostic methods (LH, beta-HCG), ultrasound examinations, and changes in operative therapy. The duration from admission to diagnosis of the ectopic pregnancy decreased from 5.6 to 3.3 days, circulatory shock from 32 to 10%. During 1971-1973 the fallopian tube was removed in 95%, during the years 1981-1982 only in 34%. Our study shows that modern diagnostic methods permit earlier diagnosis of ectopic pregnancy, and that in the majority of cases the removal of the fallopian tube is not necessary.
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D006063:Chorionic Gonadotropin / Q000652:urine; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D007986:Luteinizing Hormone / Q000652:urine; D008866:Microsurgery; D011183:Postoperative Complications / Q000175:diagnosis; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000601:surgery; D012306:Risk; D014463:Ultrasonography
chemical_list: D006063:Chorionic Gonadotropin; D007986:Luteinizing Hormone
vernacular_title: Wandel in Diagnose und Therapie der Extrauteringravidität.