SEVCAN SARIKAYA, EMRE UYSAL, OĞUZHAN GÜNENC, İLENAY AYDIN, ALPAY TUNCAR
Comprehensive Medicine - 2023;15(3):240-244
INTRODUCTION: To observe the changes in laboratory parameters of patients who received medical treatment and underwent surgery for ectopic pregnancy (EP). METHODS: Demographic characteristics, pre- and post-treatment laboratory parameters of patients diagnosed with EP in our clinic between 2020 and 2022 were retrospectively scanned and compared. Eighty patients who received medical treatment and 68 patients who underwent surgery were screened, 8 patients were excluded due to insufficient data. Results: The beta-human chorionic gonadotropin value in the surgery group was significantly higher than the methotrexate (MTX) group (p<0.05). The white blood cell (WBC) values before and after the treatment in the surgery group were significantly higher than the MTX group (p<0.05). WBC and platelet values were significantly lower after treatment in the surgery group than before treatment (p<0.05). Post-treatment WBC, thrombocyte reduction, and monocyte value were significantly higher in the surgery group than in the MTX group (p<0.05). Platelet value after treatment was significantly higher in the surgery group than in the MTX group (p<0.05). In the MTX group, monocytes and lymphocyte counts were significantly lower after treatment than before treatment (p<0.05). DISCUSSION AND CONCLUSION: Hematological parameters vary according to the type of treatment in ectopic pregnancies. Compared to the medical treatment group, the hemogram and hematocrit counts of the surgical group were lower; WBC, monocytes and lymphocyte counts were found to be higher.
