春武里医院单剂量甲氨蝶呤治疗异位妊娠成功的预测因素

Panisara Niyomyam, P. Tansupswatdikul
{"title":"春武里医院单剂量甲氨蝶呤治疗异位妊娠成功的预测因素","authors":"Panisara Niyomyam, P. Tansupswatdikul","doi":"10.14456/tjog.2016.38","DOIUrl":null,"url":null,"abstract":"Objective : To determine the factors that effect the success in management of tubal pregnancy with single–dose methotrexate regimen in Chonburi hospital. Research design : Retrospective descriptive study Material and method : Out-Patient Department (OPD) and In-Patient Department (IPD) charts of the patients who were diagnosed ectopic pregnancy and treated with methotrexate from January 2010 to December 2014 were reviewed from Chonburi hospital database. The successful treatment was defined in case of disease resolution without surgery. Result : For all 70 patients were enrolled in this study. The overall success rate was 88.57% (62/70). The baseline characteristics of patients were not different between success and failure group and included age, BMI, parity gestational age, pretreatment serum β-hCG and average sized of adnexal mass. The absent fetal heart activity (OR 23.12, 95%CI 1.46-366.12, p 0.02) and size of adnexal mass less than 3.5 cms (OR 37.56, 95%CI 2.49-567.62, p 0.01) were  independent predictors for successful treatment of ectopic pregnancy after analyzed with logistic regression model. Conclusion: The independent predictors of success in treatment of tubal pregnancy with single dose methotrexate regimen were absence of fetal heart activity and adnexal mass less than 3.5 cms.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"273-279"},"PeriodicalIF":0.0000,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Predictors of Success with Single-dose Methotrexate Regimen for the Treatment of Ectopic Pregnancy in Chonburi Hospital\",\"authors\":\"Panisara Niyomyam, P. Tansupswatdikul\",\"doi\":\"10.14456/tjog.2016.38\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective : To determine the factors that effect the success in management of tubal pregnancy with single–dose methotrexate regimen in Chonburi hospital. Research design : Retrospective descriptive study Material and method : Out-Patient Department (OPD) and In-Patient Department (IPD) charts of the patients who were diagnosed ectopic pregnancy and treated with methotrexate from January 2010 to December 2014 were reviewed from Chonburi hospital database. The successful treatment was defined in case of disease resolution without surgery. Result : For all 70 patients were enrolled in this study. The overall success rate was 88.57% (62/70). The baseline characteristics of patients were not different between success and failure group and included age, BMI, parity gestational age, pretreatment serum β-hCG and average sized of adnexal mass. The absent fetal heart activity (OR 23.12, 95%CI 1.46-366.12, p 0.02) and size of adnexal mass less than 3.5 cms (OR 37.56, 95%CI 2.49-567.62, p 0.01) were  independent predictors for successful treatment of ectopic pregnancy after analyzed with logistic regression model. Conclusion: The independent predictors of success in treatment of tubal pregnancy with single dose methotrexate regimen were absence of fetal heart activity and adnexal mass less than 3.5 cms.\",\"PeriodicalId\":36742,\"journal\":{\"name\":\"Thai Journal of Obstetrics and Gynaecology\",\"volume\":\"24 1\",\"pages\":\"273-279\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Thai Journal of Obstetrics and Gynaecology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14456/tjog.2016.38\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Thai Journal of Obstetrics and Gynaecology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14456/tjog.2016.38","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

目的:探讨影响春武里医院单剂量甲氨蝶呤治疗输卵管妊娠成功的因素。研究设计:回顾性描述性研究材料和方法:从春武里医院数据库中检索2010年1月至2014年12月诊断为异位妊娠并使用甲氨蝶呤治疗的患者的门诊(OPD)和住院(IPD)图表。在没有手术的情况下,疾病的解决被定义为成功的治疗。结果:所有70例患者均入组。总成功率为88.57%(62/70)。成功组和失败组患者的基线特征包括年龄、BMI、胎次胎龄、预处理血清β-hCG和附件肿块的平均大小等均无差异。经logistic回归模型分析,胎心活动缺失(OR 23.12, 95%CI 1.46 ~ 366.12, p 0.02)和附件肿块大小小于3.5 cm (OR 37.56, 95%CI 2.49 ~ 567.62, p 0.01)是异位妊娠成功治疗的独立预测因素。结论:单剂量甲氨蝶呤治疗输卵管妊娠成功的独立预测因素是胎心无活动和附件肿块小于3.5 cm。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Predictors of Success with Single-dose Methotrexate Regimen for the Treatment of Ectopic Pregnancy in Chonburi Hospital
Objective : To determine the factors that effect the success in management of tubal pregnancy with single–dose methotrexate regimen in Chonburi hospital. Research design : Retrospective descriptive study Material and method : Out-Patient Department (OPD) and In-Patient Department (IPD) charts of the patients who were diagnosed ectopic pregnancy and treated with methotrexate from January 2010 to December 2014 were reviewed from Chonburi hospital database. The successful treatment was defined in case of disease resolution without surgery. Result : For all 70 patients were enrolled in this study. The overall success rate was 88.57% (62/70). The baseline characteristics of patients were not different between success and failure group and included age, BMI, parity gestational age, pretreatment serum β-hCG and average sized of adnexal mass. The absent fetal heart activity (OR 23.12, 95%CI 1.46-366.12, p 0.02) and size of adnexal mass less than 3.5 cms (OR 37.56, 95%CI 2.49-567.62, p 0.01) were  independent predictors for successful treatment of ectopic pregnancy after analyzed with logistic regression model. Conclusion: The independent predictors of success in treatment of tubal pregnancy with single dose methotrexate regimen were absence of fetal heart activity and adnexal mass less than 3.5 cms.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
期刊最新文献
Incidence and Risk Factors of Surgical Site Infections after Abdominal Hysterectomy for Benign Diseases Cannabis (Gan-ja): Relevant Issues in Obstetrics and Gynecology Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A randomized controlled trial Spot Urine Albumin to Creatinine Ratio versus Urine Protein to Creatinine Ratio for the Diagnosis of Proteinuria in Pregnancy Prevalence of Hypothyroidism in Peri-/Post-Menopausal Thai Women
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1