ABSTRACT

Objective:

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

Patients And The Methods:

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.

Results:

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.

Conclusion:

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.