ABSTRACT

The aim of this study is to determine the factors affecting the treatment choice of ec-topic pregnancy.

The conditions that may affect the choice and the treament mo-dalities of 150 patients diagnosed as ectopic pregnancy in Ankara University Faculty of Medicine Department of Gynecology and Obstetrics between January 1998 and July 2006 were assessed respectively.

A hundred and nine (72,9%) of 150 patients were treated surgically, 23 (15,3%) got medical treatment and 18 patients (11,8%) were observed without getting any treatment (%11,8). Salpingectomy at 55 (66%) patients, salpingostomy at 23 (27,6%) patients and milking at 5 (6,4%) patients were done in the group of 83 patients (55,3%) at whom laparoscopy was performed. Pa-tients in laparatomy group were treated with salpingectomy. The expectant group’s hCG level was significantly lower than the other group’s hCG levels (P<0,05). At nulliparious patients, medical treatment and expectant management were more preferable methods, and salpingostomy were performed as surgical procedure commonly.

The clinical features and fertility conditions of the patients should be considered in the treatment of ectopic pregnancy. hCG levels could vary depending on the clinical features.

Keywords: B-hCG, Ectopic Pregnancy, Laparatomy, Laparoscopy