[Clinical and ultrasonographic data in ectopic pregnancy].
In order to evaluate the clinical and sonographic findings in 60 patients with ectopic pregnancy confirmed at laparotomy, we carried out a prospective study at the Hospital de Gineco-Obstetricia del Centro Médico León, Instituto Mexicano del Seguro Social. The patients were 28.17 years old, average. The ectopic pregnancy was more common in multiparous women (80%) than in nuliparous ones. The obstetric risk factors more frequent were abortion (26.6%) and use of intrauterine device (23.3%). The clinical sign reported most common was pelvic pain, referred in 48 patients (80%). Hemodynamic changes were detected in 21.6% of the cases. The ultrasound findings were seen in most of the patients and heterogeneous adnexal mass was observed in 91.6% of them, moreover intraperitoneal fluid was reported in 61.6% of the patients with ectopic pregnancy. The heterogeneous adnexal mass had a direct relationship with the diagnosis of ectopic pregnancy and had a correlation coefficient value R = 0.99 (P < 0.01). The ultrasonographic findings seen with transvaginal technique were similar than those obtained through transabdominal procedure. We conclude that ultrasonography has a definite role in improving the diagnosis of ectopic pregnancy.
Romero Gutierrez
G
G
Hospital de Gineco-Obstetricia del Centro Médico León, Instituto Mexicano del Seguro Social, Guanajuato.
Patiño Segura
A
A
Pulido Ochoa
J J
JJ
Valadéz Ortega
A
A
D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D007813:Laparotomy; D008800:Mexico; D010298:Parity; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000453:epidemiology; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging* / Q000453:epidemiology; D011446:Prospective Studies; D012307:Risk Factors; D016216:Ultrasonography, Prenatal
Datos clínicos y ultrasonográficos asociados al diasgnóstico de embarazo ectópico.