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Extrauteringravidiät

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Die Geburtshilfe

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Jede außerhalb des Cavum uteri lokalisierte Schwangerschaft ist eine Extrauteringravidität (EUG), die in >90 % der Fälle im Bereich der Tube stattfindet (Tubargravidität, Tubaria). Die Inzidenz beträgt etwa 1–2 % angegeben.

Das klinische Bild erstreckt sich von der völlig asymptomatischen Patientin über Unterbauchschmerzen mit vaginalen Schmierblutungen und einem akutem Abdomen bis hin zum hämorrhagischen Schock nach Tubarruptur. Die Vaginosonographie bildet die Grundlage der Diagnostik und wird bei nicht gesichertem Befund durch den quantitativer Serum β-HCG-Verlauf ergänzt.

Neben der operativen Therapie – laparoskopische Salpingotomie und Salpingektomie – haben sich konservative Therapiealternativen wie die systemische Gabe von Methotrexat etabliert. Ein rein abwartendes Verhalten, bei dem auf eine eventuelle Spontanresorption gewartet wird, gewinnt zunehmend an Bedeutung, zeigen doch Studien eine Erfolgsquote von 30 %.

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Authors and Affiliations

  1. Abt. für Allgemeine Gynäkologie und gynäkologische Onkologie, AKH, Universitätsklinik für Frauenheilkunde, Währinger Gürtel 18-20, 1090, Wien, Österreich

    Samir Helmy

  2. Die-Frauenärztinnen-at, Gynäkologische Betreuung und Gesundheitscoaching, Agnesgasse 49, 1190, Wien, Österreich

    Elisabeth Kucera-Sliutz

Authors
  1. Samir Helmy
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  2. Elisabeth Kucera-Sliutz
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Correspondence to Samir Helmy .

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Editors and Affiliations

  1. Frauenklinik, Universitätsklinikum, Bern, Switzerland

    Henning Schneider

  2. Frauenklinik, Medizinische Universität Wien, Wien, Austria

    Peter Husslein

  3. Frauenklinik u. Poliklinik, TU, Klinikum Rechts d. Isar, München, Germany

    Karl-Theo M. Schneider

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Helmy, S., Kucera-Sliutz, E. (2016). Extrauteringravidiät. In: Schneider, H., Husslein, P., Schneider, KT. (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45064-2_3

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  • DOI: https://doi.org/10.1007/978-3-662-45064-2_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45063-5

  • Online ISBN: 978-3-662-45064-2

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