Clinical profile and management of non-tubal ectopic pregnancy: Experience from a tertiary care hospital in the United Arab Emirates (UAE).

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-01 DOI:10.12669/pjms.40.9.8584

Shumaila Aftab Khan, Shaba Molvi, Giya Mathew, Muna Khalfan

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引用次数: 0

Abstract

Objective: To study the clinical profile and management outcomes of non-tubal ectopic pregnancy at a tertiary care hospital in the United Arab Emirates (UAE).

Methods: Case files of non-tubal ectopic pregnancy (NTEP) patients from October 2017 to October 2020 presented to Alqasmi Women and Children's Hospital, Sharjah, were included in the study. The data was extracted from available medical records.

Results: A total of 30 confirmed cases of NTEP were identified with the following break-up: caesarean scar ectopic pregnancy (n=14; 46.7%), cornual pregnancy (n=11; 36.7%), cervical pregnancy (n=3; 10%) and ovarian pregnancy n=2; 6.7%). Abdominal pain was the most common presenting symptom, present in 23 (76.7% patients) followed by vaginal bleeding in 17 (56.7%) patients. Ten women were managed medically, ten required surgical treatment, and eight were managed with combined medical and surgical treatments; Two patients were managed expectantly. Patients in each treatment strategy did well and there were no deaths. One patient in the medical treatment group developed complications after one month and underwent subtotal hysterectomy.

Conclusion: Patients with NTEP were presented with varying symptoms and signs depending upon the location of NTEP. The different currently available management options for NTEP seem to be effective and safe when carefully selected based on the clinical merits of each case.

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非输卵管异位妊娠的临床概况和管理：阿拉伯联合酋长国（UAE）一家三级医院的经验。

目的研究阿拉伯联合酋长国（UAE）一家三级医院非输卵管异位妊娠的临床概况和管理结果：研究纳入了 2017 年 10 月至 2020 年 10 月期间在沙迦 Alqasmi 妇女儿童医院就诊的非输卵管异位妊娠（NTEP）患者的病例档案。数据从现有病历中提取：共发现30例确诊的NTEP病例，其分类如下：剖腹产疤痕异位妊娠（14例；46.7%）、粟粒妊娠（11例；36.7%）、宫颈妊娠（3例；10%）和卵巢妊娠（2例；6.7%）。腹痛是最常见的症状，有 23 名患者（76.7%）出现腹痛，其次是阴道出血，有 17 名患者（56.7%）出现阴道出血。10 名妇女接受了药物治疗，10 名妇女需要手术治疗，8 名妇女接受了药物和手术联合治疗；2 名患者接受了期待治疗。每种治疗策略的患者均表现良好，无死亡病例。药物治疗组的一名患者在一个月后出现并发症，接受了子宫次全切除术：结论：NTEP 患者的症状和体征因 NTEP 的部位而异。根据每个病例的临床表现，谨慎选择不同的治疗方案，目前可用于治疗 NTEP 的方案似乎都是有效和安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.