METHOD FOR CHOOSING A MEDICAL AID IN PATIENTS WITH EXTRAUTERINE PREGNANCY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to gynecology, operative gynecology, obstetrics. Before treatment, the patient is determined: age (A), the number of previous pregnancies (P), the presence of extrauterine pregnancies in the anamnesis (EP), the presence of adhesions in the small pelvis (AD), the level of the β-subunit of human chorionic gonadotoropin in the blood serum (β- HCG), the sides of the indication according to the ultrasound scanning of the pelvic organs (S), the presence/absence of symptoms of acute abdomen (AA). Then, the prognostic coefficients of the effectiveness of the treatment of extrauterine pregnancy are calculated according to the stated formulas: treatment with methotrexate (PCE1), salpingectomy (PCE2) and salmingotomy (PCE3). The values ​​of the predictive coefficients are compared. And if PCE1 is simultaneously greater than PCE2 and PCE3, then methotrexate treatment is chosen. If PCE2 is simultaneously greater than PCE1 and PCE3, then salpingectomy is performed. If PCE3 is simultaneously greater than PCE1 and PCE2, then salpingotomy is performed.;EFFECT: invention provides a simplification and increased objectification of the choice of medical benefits in patients with an extrauterine pregnancy between salpingotomy, salpingectomy and treatment with methotrexate by assessing the complex of the most significant data.;1 cl, 1 tbl, 3 ex