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Journals / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 4

BhCG as a Rupture Marker in Ectopic Pregnancy: A Retrospective Study

Ektopik Gebelikte Rüptür Belirteci Olarak BhCG: Retrospektif Bir Çalışma

Özlem KARABAY AKGÜL
Hakan GÜRARSLAN
Evrim Ebru KOVALAK
Toygun ÇAKMAK
Pages
426–430
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: BHcg, ectopic pregnancy, rupture prediction, tubal ruptur

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To find effective criteria in determining the risk of ectopic pregnancy rupture in patients with ectopic pregnancy.
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Key Findings & Data:Method: The data of 101 patients who were hospitalized with the diagnosis of ectopic pregnancy in the tertiary center between January 2018 and January 2021 were analyzed retrospectively.
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Conclusion & Impact:Keywords: BHcg, ectopic pregnancy, rupture prediction, tubal ruptur
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To find effective criteria in determining the risk of ectopic pregnancy rupture in patients with ectopic pregnancy. Method: The data of 101 patients who were hospitalized with the diagnosis of ectopic pregnancy in the tertiary center between January 2018 and January 2021 were analyzed retrospectively. Demographic data of the patients, the month of admission, the patients’ beta-human corionic gonadotropin (BhCG) values at the time of admission, blood type, endometrial thickness measured with transvaginal ultrasound, presence of adnexal mass suggestive of ectopic pregnancy and treatments applied to the patients were recorded. These data were compared between patients who had surgery for ectopic pregnancy rupture and those whose treatment was completed without it. Results: In the statistical analysis of the data, ectopic pregnancy rupture was found significantly more frequent for a threshold value of BhCG >4000 IU/L. Other data were not statistically significant. Conclusion: In cases of ectopic pregnancy, if the BhCG value at the time of admission exceeds the threshold value, the possibility of surgical approach increases. Medical treatment may be more successful at lower BhCG levels. Keywords: BHcg, ectopic pregnancy, rupture prediction, tubal ruptur

Özet

Amaç: Ektopik gebelik saptanmış hastalarda rüptür riskinin belirlenmesinde etkili kriterleri bulmaktır. Yöntem: Ocak 2018-Ocak 2021 tarihleri arasında üçüncü basamak merkezde ektopik gebelik tanısı ile yatırılan 101 hastanın verileri retrospektif olarak incelendi. Hastaların demografik verileri, başvuru ayı, hastanın başvuru anındaki BhCG değeri, kan grubu, transvaginal ultrasonografi ile endometrial kalınlık, ektopik gebelik odağı varlığı ve hastalara uygulanan tedaviler kaydedildi. Bu veriler, ektopik gebelik rüptürü nedeniyle ameliyat olan ve ameliyat olmadan tedavisi tamamlanan hastalar arasında karşılaştırıldı. Bulgular: Verilerin istatistiksel analizinde BhCG >4000 IU/L için sadece rüptür grubunda anlamlı olarak daha sık bulundu. Diğer veriler istatistiksel olarak anlamlı değildi. Sonuç: Ektopik gebelik olgularında giriş anındaki BhCG değeri eşik değerini aşarsa ameliyat olma olasılığı artar. Düşük BhCG düzeylerinde tıbbi tedavi daha başarılı olabilir. Anahtar kelimeler: BHcg, ektopik gebelik, rüptür öngörüsü, tubal rüptür

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Cite This Article

AKGÜL, Ö. K., GÜRARSLAN, H., KOVALAK, E. E., ÇAKMAK, T. (2022). BhCG as a Rupture Marker in Ectopic Pregnancy: A Retrospective Study. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 4, 426–430. https://ajindex.com/articles/458951

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