[Management of analysis in case of ectopic pregnancy--own material].
BACKGROUND
Apart from increasing frequency of ectopic pregnancy occurrence during recent years there is still a need to diagnose and treat these pathology as early as possible. Delay in diagnosing subsequently cause severe threat to patients life. Recognition improvement means equally decrease in mortality connected to ectopic pregnancy.


OBJECTIVE
The aim of the study was diagnosis and treatment efficiency evaluation in cases of ectopic pregnancy.


METHODS
In this paper 68 cases of women hospitalised between May 1999 and September 2002 in our Clinic with suspicion of ectopic pregnancy were analysed. Diagnostic procedures included clinical examination, biochemical assessment of beta HCG level, sonography and diagnostic laparoscopy. Therapeutic management included salpingotomy with evacuation of gestational sac, salpingectomy and uterine cornu excision.


RESULTS
In 11 cases the presence of pregnancy was excluded according to non-invasive diagnostics. Laparotomy was performed in two cases. Laparoscopy was performed in 50 cases what equals to 73% of all subjects. Laparoscopy was negative in 7 cases. Misdiagnosis resulted from pathologies in adnexal area. The most frequent ectopic pregnancy localisation was oviduct, one case of cervical and one intramural localisation was diagnosed. In one case two salpingostomies were performed in two years apart period.


CONCLUSIONS
Complex diagnostic management is the only diagnostic way in case of ectopic pregnancy. Any confusion should be solved by immediate invasive diagnostics. In our opinion the most efficient method in ectopic pregnancy diagnosing and treatment is early laparoscopy.
Kempf-Haber
Małgorzata
M
Kliniki Ginekologii i Niepłodności CMUJ w Krakowie.
Wiecheć
Marcin
M
Wicherek
Łukasz
Ł
Adamski
Dariusz
D
Skotniczny
Krzysztof
K
Migdał
Małgorzata
M
Klimek
Marek
M
D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011044:Poland; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D012489:Salpingostomy; D012680:Sensitivity and Specificity; D016216:Ultrasonography, Prenatal
D018997:Chorionic Gonadotropin, beta Subunit, Human