Ektopik gebelikler
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Date
1989
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Uludağ Üniversitesi
Abstract
Ektopik gebelik, fertilize ovumun uterus dışında bir yere yuvalanması sonucunda meydana gelen ve anne ölümlerine yol açan önemli bir sağlık sorunudur. Son iki dekatta dünyadaki ektopik gebelik sayısı hızla artmaktadır. Bu çalışmada 1978-1988 yılları arasında hastanemizde mikroskopik olarak ektopik gebelik tanısı alan olgular yeniden incelenmiştir. ll yıllık periyotta 17.443 canlı doğum yanında 117 ektopik gebelik saptanmıştır. Her 149 canlı doğuma karşı 1 ektopik gebelik görülmüştür. Bizim serimizde ektopik gebelik olguları en fazla 27 yaşın üzerindeki kadınlarda meydana gelmiş olup, % 52.5 unun 2 veya daha fazla sayıda doğum yapmış olduğu ve % 44.5 unda düşük hikayesi bulunduğu saptanmıştır. Ektopik gebeliğin en fazla tuba uterinada yerleştiği (% 88.88) bunu sırasıyla ovaryan (% 5.12), servikal (% 2.56), abdominal (% 2.56) ve komual (% 0.88) gebeliklerin izlediği görülmüştür. Bu sonuçlar kaynaklardaki bulgularla karşılaştırıldığında ektopik gebelik sayısının canlı doğum sayısına oranının düşük olduğu, buna karşın ovaryal, servikal, abdominal ve komual gebelik oranlarının kaynaklardaki alanlardan daha yüksek olduğu görülmüştür. Hastaların yaşları, doğum ve düşük hikayeleri gibi diğer özellikler ise kaynaklarla uyumludur.
Ectopic pregnancy occurs by trapping the fertilized ovum with subsequent nidation in an extrauterine site and it is an important health problem that may cause maternal deaths. In the last two decades, the numbers of ectopic pregnancy have increased in the world. In this study, cases who diagnosed ectopic pregnancy with microscopic examination from 1978 to 1988 in our hospital were reviewed. In this period, 117 ectopic pregnancies were seen in 17.443 births. The incidence is. one ectopic pregnancy in 149 births. In our study, ectopic pregnancies were mostly seen over 27 years old women, 525 % of these women have two or more than two births and 44.5 % of them have the history of abortion. The ectopic pregnancies; are mostly seen in tuba uterina (88,88 %), ovarial (5.12 %) cervical (2.56 %), abdominal (2.56 %) and cornual (0.88 %). When these results were contrasted with the literature the numbers of ectopic pregnancies were tower than the numbers of the births, on the other hand, it has been seen that the rates of ovarian, cervical, abdominal, cornual pregnancies were higher than the rates of them in the literature. The other results except these; such as the patients' ages, their history of births and abortion's rates were as same as the rates in the literatures.
Ectopic pregnancy occurs by trapping the fertilized ovum with subsequent nidation in an extrauterine site and it is an important health problem that may cause maternal deaths. In the last two decades, the numbers of ectopic pregnancy have increased in the world. In this study, cases who diagnosed ectopic pregnancy with microscopic examination from 1978 to 1988 in our hospital were reviewed. In this period, 117 ectopic pregnancies were seen in 17.443 births. The incidence is. one ectopic pregnancy in 149 births. In our study, ectopic pregnancies were mostly seen over 27 years old women, 525 % of these women have two or more than two births and 44.5 % of them have the history of abortion. The ectopic pregnancies; are mostly seen in tuba uterina (88,88 %), ovarial (5.12 %) cervical (2.56 %), abdominal (2.56 %) and cornual (0.88 %). When these results were contrasted with the literature the numbers of ectopic pregnancies were tower than the numbers of the births, on the other hand, it has been seen that the rates of ovarian, cervical, abdominal, cornual pregnancies were higher than the rates of them in the literature. The other results except these; such as the patients' ages, their history of births and abortion's rates were as same as the rates in the literatures.
Description
Keywords
Ektopik gebelik, Ectopic pregnancies
Citation
Tolunay, Ş. vd. (1989). ''Ektopik gebelikler ''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 16(2), 379-387.