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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Etienne Belinga Félix Essiben Emile Mboudou Esther Juliette Ngo Um Meka Émeric Lionel Botsomogo Pascal Foumane Julius Dohbit Sama Isidore Tompeen |
| Abstract | Introduction: l´objectif de notre travail était d´identifier les facteurs associés à l´échec du traitement médical de la grossesse extra-utérine (GEU) chez les femmes à l´Hôpital Gynéco- Obstétrique et Pédiatrique de Yaoundé. Méthodes: il s´agissait d´une étude cas-témoins avec collecte rétrospective des données, sur une période de 10 ans, du 1er janvier 2008 au 31 décembre 2017. Les cas étaient toutes les patientes prises en charge pour GEU avec échec du traitement médical et les témoins celles chez qui le traitement médical de la GEU avait réussi. Les variables étudiées étaient: les caractéristiques sociodémographiques, cliniques, paracliniques et thérapeutiques. L´échantillonnage était consécutif et exhaustif. Nous avons réalisé une analyse multivariée. Résultats: nous avons recruté 92 patientes dont 23 cas et 69 témoins. Les variables associées à l´échec du traitement médical de la GEU après analyse univariée étaient: un taux de β-HCG initial > 10000UI/L (OR=3,05;P=0,031), un taux de β-HCG à J4 > 10000UI/L (OR=7,15;P=0,000), un taux de β-HCG à J7 > à 10000UI/L (OR=20;P=0,000), un score de Fernandez ≥ 13 (OR=3,09;P=0,020), la présence d´activité cardiaque de l´embryon (OR=2,8;P=0,036), l´antécédent d´interruption volontaire de grossesse (OR=2,67;P=0,043) et le niveau de scolarisation primaire (P=0,013). Après analyse multivariée, les facteurs prédictifs étaient: un taux de β-HCG initial >10000 UI/L (OR=8,97; P=0,004), un taux de β-HCG à J4 >10000 UI/L (OR=8,44;P= 0,007), un score de Fernandez ≥ 13 (OR=1,12;P=0,005) et la présence de l´activité cardiaque de l´embryon (OR=6,09;P=0,026). Conclusion: les facteurs prédictifs de l´échec du traitement médical de la GEU à HGOPY sont liés au taux de β-HCG initial et la viabilité embryonnaire. |
| File Format | |
| e-ISSN | 19378688 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 41 |
| Language | English French |
| Publisher Date | 2023-01-16 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Grossesse extra-utérine traitement médical facteurs associés à l´échec Cameroun |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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