Çeçen Dönmez Y., Keles E., Şanlıkan F., Kara S. S., Bağlar İ., Ergenç Özdaş C., ...Daha Fazla
Ege Tıp Dergisi, cilt.65, sa.1, ss.75-81, 2026 (TRDizin)
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Yayın Türü:
Makale / Tam Makale
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Cilt numarası:
65
Sayı:
1
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Basım Tarihi:
2026
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Doi Numarası:
10.19161/etd.1786283
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Dergi Adı:
Ege Tıp Dergisi
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Derginin Tarandığı İndeksler:
TR DİZİN (ULAKBİM)
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Sayfa Sayıları:
ss.75-81
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Ankara Yıldırım Beyazıt Üniversitesi Adresli:
Evet
Özet
Aim: This study aimed to identify and analyze the specific risk factors and clinical characteristics associated with tubal rupture in women with ectopic pregnancy (EP).Materials and Methods: A retrospective analysis was conducted on 180 women diagnosed with EP at a tertiary care center between 2015 and 2024. Patients were stratified into two groups: those with tubal rupture (n=132) and those with unruptured EP (n=48). Patient demographics, reproductive history, presenting clinical signs, serum beta-human chorionic gonadotropin (β-hCG) levels, and operative outcomes were collected. Results: Women with ruptured EP were significantly younger (31.2 ± 5.5 vs. 33.3 ± 5.8 years; p = 0.026) and presented with significantly lower mean serum β-hCG concentrations (3037.9 ± 4438.5 vs. 5483.6 ± 5300.8 mIU/mL; p = 0.006). A history of a prior EP and tubal surgery was more frequent among unruptured cases (p = 0.018 and p = 0.017, respectively). In multivariable logistic regression, younger age (adjusted odds ratio [aOR] 0.91; 95% CI, 0.84–0.98; p = 0.018), the presence of abdominal pain (aOR 3.27; 95% CI, 1.06–10.05; p = 0.039), and lower serum β-hCG (p