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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). Die Inzidenz liegt bei 1–2 %.

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

Neben der operativen Therapie – laparoskopische Sal**otomie und Sal**ektomie – haben sich konservative Therapiealternativen wie die systemische Gabe von Methotrexat etabliert. Ein rein abwartendes Vorgehen, mit einer eventuellen Spontanresorption als Ziel, kann bei fallendem Serum ß-hCG als Therapieoption in Erwägung gezogen werden und zeigt eine Erfolgsquote von bis zu 30 %.

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Author information

Authors and Affiliations

  1. Universitätsfrauenklinik, Abteilung für Allgemeine Gynäkologie und gynäkologische Onkologie, Medizinische Universität Wien, Wien, Österreich

    Samir Helmy-Bader

  2. Ordination Kucera-Sliutz, Wien, Österreich

    Elisabeth Kucera-Sliutz

  3. Schwerpunktzentrum Feto-Maternale Medizin, Universitätsklinik für Frauenheilkunde und Geburtshilfe, Medizinische Universität Graz, Graz, Österreich

    Patrick Greimel

Authors
  1. Samir Helmy-Bader
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  2. Elisabeth Kucera-Sliutz
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  3. Patrick Greimel
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Corresponding author

Correspondence to Samir Helmy-Bader .

Editor information

Editors and Affiliations

  1. Frauenklinik der medizin. Hochschule Hannover, Medizinische Hochschule Hannover, Hannover, Niedersachsen, Deutschland

    Constantin von Kaisenberg

  2. Univ.Klinik für Frauenheilkunde und Geburtshilfe, Medizinische Universität Graz, Graz, Steiermark, Österreich

    Philipp Klaritsch

  3. Geburtshilfe, Universitätsspital Basel, Basel Universitätsspital, Basel Stadt, Schweiz

    Irene Hösli-Krais

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© 2024 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Helmy-Bader, S., Kucera-Sliutz, E., Greimel, P. (2024). Extrauteringravidiät. In: von Kaisenberg, C., Klaritsch, P., Hösli-Krais, I. (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63506-3_3

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  • DOI: https://doi.org/10.1007/978-3-662-63506-3_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-63505-6

  • Online ISBN: 978-3-662-63506-3

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