DIAGNOSTIC CRITERIA FOR ECTOPIC PREGNANCY
- Authors: KHILKEVICH E.G1,2, KAUSHANSKAYA L.V3, LINDE V.A3
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Affiliations:
- Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia
- I.M. Sechenov First Moscow State Medical University, Ministry of Health and Social Development of Russia
- Rostov Research Institute of Obstetrics and Pediatrics, Ministry of Health and Social Development of Russia
- Issue: No 7-1 (2011)
- Pages: 30-34
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246605
- ID: 246605
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Abstract
Material and methods. Three hundred and thirty case histories of patients with EP (Group 1) were retrospectively analyzed and 350 women with this condition (Group 2) were prospectively studied. General clinical, laboratory, echographic, morphological, endoscopic, and statistical studies were performed. Results. When EP is less than 3-4 weeks, serum monitoring for ß-subunit of chorionic gonadotropin (ß-CG) in combination with transvaginal ultrasound scanning (TVUSS) is of the greatest informative value (98.3%) and laparoscopy is no of high diagnostic value (65.4%). When EP is more than 4 weeks, combined monitoring of ß-CG and TVUSS remains its high diagnostic value (99.5%), the value of TVUSS and laparoscopy increases from 68.6 to 97.1% and from 65.3 to 97.4%, respectively. Conclusion. The criteria for hospitalization in case of 10-14 days delayed for a menstrual period are a less than 50% increase in serum ß-CG within 48 hours and no ovum in the uterus. In case of more than 14 days delayed, the sufficient ground for hospital admission is no ovum in the uterus and positive serum ß-CG or positive urine pregnancy test.
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About the authors
E. G KHILKEVICH
Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health and Social Development of Russia
Email: elenachilkevich@mail.ru
L. V KAUSHANSKAYA
Rostov Research Institute of Obstetrics and Pediatrics, Ministry of Health and Social Development of Russia
V. A LINDE
Rostov Research Institute of Obstetrics and Pediatrics, Ministry of Health and Social Development of Russia
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