nhận xét tình hình điều trị nội khoa chửa ngoài tử cung tại bệnh viện phụ - sản trung ương 6 tháng đầu năm 2011

human Chorionic GonadotrpinDo human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinnê

BỘ GIÁO DỤC VÀ ĐÀO TẠO BỘ Y TẾ

TRƯỜNG ĐẠI HỌC Y HÀ NỘI

KHÓA LUẬN TỐT NGHIỆP BÁC SỸ Y KHOA

Khóa 2006-2012

Hà Nội – 2012

CÁC CHỮ VIẾT TẮT

βhCGhCG βhCG human Chorionic Gonadotrpinhuman human Chorionic GonadotrpinChorionic human Chorionic GonadotrpinGonadotrpinBVPSTW Bệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic GonadotrpinTrung human Chorionic Gonadotrpinương.CNTC Chửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

VTC human Chorionic Gonadotrpin Vòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

ĐẶT VẤN ĐỀ

Chửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintượng human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpinbuồng

tử human Chorionic Gonadotrpincung human Chorionic GonadotrpinĐây human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinphổ human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpintrong human Chorionic Gonadotrpincấp human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinsản human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpinvới human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic 1/200 human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinnữ human Chorionic Gonadotrpinmang human Chorionic Gonadotrpinthai[1], human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinđến human Chorionic Gonadotrpintử human Chorionic Gonadotrpinvong human Chorionic Gonadotrpinmẹtrong human Chorionic Gonadotrpin3 human Chorionic Gonadotrpintháng human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinkỳ human Chorionic Gonadotrpin(4-10%) human Chorionic GonadotrpinTheo human Chorionic Gonadotrpinthống human Chorionic Gonadotrpinkê human Chorionic GonadotrpinWHO human Chorionic Gonadotrpin(2007) human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintửcung human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin5% human Chorionic Gonadotrpintrong human Chorionic Gonadotrpincác human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpingây human Chorionic Gonadotrpintử human Chorionic Gonadotrpinvong human Chorionic Gonadotrpinmẹ human Chorionic Gonadotrpinở human Chorionic Gonadotrpincác human Chorionic Gonadotrpinnước human Chorionic Gonadotrpinđang human Chorionic Gonadotrpinpháttriển[22]

human Chorionic Gonadotrpin Tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinxu human Chorionic Gonadotrpinhướng human Chorionic Gonadotrpinngày human Chorionic Gonadotrpincàng human Chorionic Gonadotrpingia human Chorionic Gonadotrpintăng human Chorionic GonadotrpinTại human Chorionic GonadotrpinMỹtrong human Chorionic Gonadotrpin12 human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin( human Chorionic Gonadotrpin1980-1992) human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinlên human Chorionic Gonadotrpingấp human Chorionic Gonadotrpin4 human Chorionic Gonadotrpinlần, human Chorionic Gonadotrpintuynhiên human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpintử human Chorionic Gonadotrpinvong human Chorionic Gonadotrpinmẹ human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin9,1/10000 human Chorionic Gonadotrpinxuống human Chorionic Gonadotrpincòn human Chorionic Gonadotrpin2,9/10000 human Chorionic Gonadotrpindo human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchẩnđoán human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinxử human Chorionic Gonadotrpintrí human Chorionic Gonadotrpinsớm[22] human Chorionic GonadotrpinTại human Chorionic GonadotrpinBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic GonadotrpinTrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2000 human Chorionic Gonadotrpintỷ human Chorionic GonadotrpinlệCNTC/ human Chorionic Gonadotrpinđẻ human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin26.79%, human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2004 human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin39,1%

Chẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmục human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinquan human Chorionic Gonadotrpintrọng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinngànhsản human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpingiúp human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpingiản, human Chorionic Gonadotrpinphục human Chorionic Gonadotrpinhồi human Chorionic Gonadotrpinnhanh, human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpinra human Chorionic Gonadotrpincòn human Chorionic Gonadotrpincó human Chorionic Gonadotrpincơhội human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinmethotrexat human Chorionic Gonadotrpin(MTX) human Chorionic GonadotrpinĐây human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinphươngpháp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintiên human Chorionic Gonadotrpintiến human Chorionic Gonadotrpinđược human Chorionic Gonadotrpintác human Chorionic Gonadotrpingiả human Chorionic GonadotrpinTanaka human Chorionic Gonadotrpincông human Chorionic Gonadotrpinbố human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpintiên human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin1982 human Chorionic GonadotrpinTừ

đó human Chorionic Gonadotrpinnhanh human Chorionic Gonadotrpinchóng human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincác human Chorionic Gonadotrpinnhà human Chorionic Gonadotrpinsản human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinthế human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinchấp human Chorionic Gonadotrpinnhận human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđưa human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinápdụng human Chorionic GonadotrpinDo human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinnên human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincác human Chorionic Gonadotrpintai human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpindo human Chorionic Gonadotrpingây human Chorionic Gonadotrpinmê human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinphẫuthuật human Chorionic Gonadotrpingây human Chorionic Gonadotrpinra human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinvẹn human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvới human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệthông human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin56,2% human Chorionic Gonadotrpinđến human Chorionic Gonadotrpin82,3%[25][26]

human Chorionic Gonadotrpin Tại human Chorionic GonadotrpinViệt human Chorionic GonadotrpinNam, human Chorionic GonadotrpinBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic GonadotrpinHùng human Chorionic GonadotrpinVương, human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2000 human Chorionic GonadotrpinTạ human Chorionic GonadotrpinThịThanh human Chorionic GonadotrpinThủy human Chorionic Gonadotrpinđã human Chorionic Gonadotrpintiến human Chorionic Gonadotrpinhành human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinMTX human Chorionic Gonadotrpincho human Chorionic Gonadotrpin95 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinvới human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông

là human Chorionic Gonadotrpin90,9 human Chorionic Gonadotrpin%[16] human Chorionic GonadotrpinTheo human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinNguyễn human Chorionic GonadotrpinVăn human Chorionic GonadotrpinHọc human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinviện human Chorionic Gonadotrpinphụ human Chorionic GonadotrpinsảnHải human Chorionic GonadotrpinPhòng human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpincho human Chorionic Gonadotrpin103 human Chorionic Gonadotrpinbênh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpintrong human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin83,5

%[11] human Chorionic GonadotrpinBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic Gonadotrpinsản human Chorionic Gonadotrpintrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinbáo human Chorionic Gonadotrpincáo human Chorionic Gonadotrpin5 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinthànhcông human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinống human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpincách human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpintrực human Chorionic Gonadotrpintiếp human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinvà human Chorionic GonadotrpinKCl human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinkhối

chửa human Chorionic Gonadotrpinvà human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinMTX human Chorionic Gonadotrpincho human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpintại human Chorionic Gonadotrpincác human Chorionic Gonadotrpinvị human Chorionic Gonadotrpintrí human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2005nhưng human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinrộng human Chorionic Gonadotrpinrãi human Chorionic GonadotrpinNghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinVũ human Chorionic GonadotrpinThanh human Chorionic GonadotrpinVân human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinCNTCbằng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic Gonadotrpinsản human Chorionic GonadotrpinTrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpintừ human Chorionic Gonadotrpintháng human Chorionic Gonadotrpin3/2005 human Chorionic Gonadotrpinđến human Chorionic Gonadotrpintháng7/2006 human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin105 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinđạt human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpin91 human Chorionic Gonadotrpin,4 human Chorionic Gonadotrpin%[19] human Chorionic Gonadotrpin human Chorionic GonadotrpinTừ human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinnayphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinđược human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinngày human Chorionic Gonadotrpincàng human Chorionic Gonadotrpinrộng human Chorionic Gonadotrpinrãi human Chorionic GonadotrpinVì human Chorionic Gonadotrpinvậy, human Chorionic Gonadotrpinchúng human Chorionic Gonadotrpintôi human Chorionic Gonadotrpintiến

hành human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu: human Chorionic Gonadotrpin“Nhận xét tình hình điều trị nội khoa chửa ngoài tử cung tại bệnh viện Phụ - Sản trung ương 6 tháng đầu năm 2011” human Chorionic Gonadotrpin sau human Chorionic Gonadotrpin5 human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpináp

dụng human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinmục human Chorionic Gonadotrpintiêu:

1 Mô tả các đặc điểm lâm sàng và cận lâm sàng của những bệnh nhân điều trị nội khoa chửa ngoài tử cung

2 Nhận xét kết quả phương pháp điều trị nội khoa chửa ngoài tử cung tại bênh viện Phụ sản Trung ương 6 tháng đầu năm 2011.

Chương 1 TỔNG QUAN TÀI LIỆU1.1 Cấu tạo và sinh lý vòi tử cung

1.1.1 Cấu tạo vòi tử cung

Vòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinống human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinnoãn human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpindàikhoảng human Chorionic Gonadotrpin10-12cm, human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinnhỏ human Chorionic Gonadotrpinở human Chorionic Gonadotrpinsát human Chorionic Gonadotrpinsừng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinrồi human Chorionic Gonadotrpinto human Chorionic Gonadotrpindần human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinphía human Chorionic Gonadotrpintận human Chorionic Gonadotrpincùnggiống human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinkèn human Chorionic Gonadotrpintrompette, human Chorionic Gonadotrpinthông human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbởi human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinlỗ human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin3mm,

và human Chorionic Gonadotrpinlỗ human Chorionic Gonadotrpinthông human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin7-8mm human Chorionic Gonadotrpin[3]

Vòi tử cung được chia thành 4 đoạn:

- Đoạn human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinkẽ human Chorionic Gonadotrpinnằm human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinthành human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinĐây human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpincó human Chorionic Gonadotrpinlòngống human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpinđường human Chorionic Gonadotrpinkính human Chorionic Gonadotrpin0,1cm human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinở human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinnày human Chorionic Gonadotrpin2-3%

- Đoạn human Chorionic Gonadotrpineo human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinthành human Chorionic GonadotrpinVì human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinhẹp, human Chorionic Gonadotrpinnằm human Chorionic Gonadotrpingần human Chorionic Gonadotrpinthành human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung,lớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpindày human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinkhó human Chorionic Gonadotrpingiãn human Chorionic Gonadotrpinnở, human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinở human Chorionic Gonadotrpinđây human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinsớm human Chorionic GonadotrpinTỷ human Chorionic GonadotrpinlệCNTC human Chorionic Gonadotrpinở human Chorionic Gonadotrpinđây human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin12%

- Đoạn human Chorionic Gonadotrpinbóng human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincoi human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpinđể human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintinh human Chorionic Gonadotrpintrùng human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinnhautạo human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintượng human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic GonadotrpinTuy human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpinđây human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnơi human Chorionic Gonadotrpincó human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpincaonhất human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin70%

- Đoạn human Chorionic Gonadotrpinloa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhình human Chorionic Gonadotrpinphễu, human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinkhoang human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin10-12tua, human Chorionic Gonadotrpinmỗi human Chorionic Gonadotrpintua human Chorionic Gonadotrpindài human Chorionic Gonadotrpin1-1,5cmTua human Chorionic Gonadotrpindài human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinlà human Chorionic Gonadotrpintua human Chorionic GonadotrpinRichard human Chorionic Gonadotrpindính human Chorionic Gonadotrpinvào human Chorionic Gonadotrpindây human Chorionic Gonadotrpinchằngbuồng human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpincó human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinhứng human Chorionic Gonadotrpinnoãn human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinvòi human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinở human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinkhoảng11%[3],[2]

Về mô học, vòi tử cung được cấu tạo 4 lớp từ ngoài vào trong:

- human Chorionic GonadotrpinNgoài human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinthanh human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinnhẵn human Chorionic Gonadotrpinbóng human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinbởi human Chorionic Gonadotrpinlá human Chorionic Gonadotrpintạng human Chorionic Gonadotrpinphúc human Chorionic Gonadotrpinmạc

- human Chorionic GonadotrpinLớp human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinmô human Chorionic Gonadotrpinliên human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinmỏng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinchứa human Chorionic Gonadotrpinmạch human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinthần human Chorionic Gonadotrpinkinh

- human Chorionic GonadotrpinThứ human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpingồm human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinlớp: human Chorionic Gonadotrpincơ human Chorionic Gonadotrpindọc human Chorionic Gonadotrpinở human Chorionic Gonadotrpinngoai human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinvòng human Chorionic Gonadotrpinở human Chorionic Gonadotrpintrong, human Chorionic Gonadotrpingiúpcho human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinnhu human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinhướng human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpintùy human Chorionic Gonadotrpinthờiđiểm human Chorionic Gonadotrpinthích human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinvận human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpintinh human Chorionic Gonadotrpintrùng.

- human Chorionic GonadotrpinTrong human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnếp human Chorionic Gonadotrpingấp, human Chorionic Gonadotrpincấu human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinbởi human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào: human Chorionic Gonadotrpintếbào human Chorionic Gonadotrpinhình human Chorionic Gonadotrpintrụ, human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinchế human Chorionic Gonadotrpintiết, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinhình human Chorionic Gonadotrpinthoi

1.1.2.Sinh lý, chức năng vòi tử cung

Sự human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinchịu human Chorionic Gonadotrpintác human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinhai human Chorionic Gonadotrpinhormone human Chorionic Gonadotrpinestrogen human Chorionic Gonadotrpinvàprogesterone human Chorionic GonadotrpinEstrogen human Chorionic Gonadotrpincó human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinmô human Chorionic Gonadotrpintuyến, human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpincác human Chorionic Gonadotrpintếbào human Chorionic Gonadotrpinbiểu human Chorionic Gonadotrpinmô human Chorionic Gonadotrpinlông human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpincác human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinnày, human Chorionic Gonadotrpinnhằm human Chorionic Gonadotrpingiúptrứng human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpindễ human Chorionic Gonadotrpindàng human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinCòn human Chorionic Gonadotrpinprogesterone human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinlàmtăng human Chorionic Gonadotrpinbài human Chorionic Gonadotrpintiết human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinchứa human Chorionic Gonadotrpinchất human Chorionic Gonadotrpindinh human Chorionic Gonadotrpindưỡng human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinthúc human Chorionic Gonadotrpintính human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinHai human Chorionic Gonadotrpinnộitiết human Chorionic Gonadotrpintố human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinsóng human Chorionic Gonadotrpinnhu human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpinnhịp human Chorionic Gonadotrpinnhàng human Chorionic Gonadotrpinđẩy human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinphía human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintửcung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinnuôi human Chorionic Gonadotrpindưỡng human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển

Sự human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpindiễn human Chorionic Gonadotrpinra human Chorionic Gonadotrpinở human Chorionic Gonadotrpin1/3 human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpintục human Chorionic Gonadotrpindichuyển human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinở human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinTrứng human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpinmấtkhoảng human Chorionic Gonadotrpin6-7 human Chorionic Gonadotrpinngày human Chorionic Gonadotrpinđể human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinnhờ human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchế human Chorionic Gonadotrpinsau:

 Sự human Chorionic Gonadotrpinco human Chorionic Gonadotrpinbóp human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic GonadotrpinVTC, human Chorionic Gonadotrpinchủ human Chorionic Gonadotrpinyếu human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinvai human Chorionic Gonadotrpintrò human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpindọc

 Hoạt human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinnhung human Chorionic Gonadotrpinmao human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

 Tác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpindòng human Chorionic Gonadotrpindịch human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinlòng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung: human Chorionic Gonadotrpinnhờ human Chorionic Gonadotrpinhệ human Chorionic Gonadotrpinthống human Chorionic Gonadotrpinmạchmáu human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinhệ human Chorionic Gonadotrpinbạch human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinphong human Chorionic Gonadotrpinphú human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinđệm, human Chorionic GonadotrpinVTC human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinhấp human Chorionic Gonadotrpinthụdịch human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinlòng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinDòng human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinvềbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincuốn human Chorionic Gonadotrpintheo human Chorionic Gonadotrpincả human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinnằm human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintửcung

Những human Chorionic Gonadotrpincản human Chorionic Gonadotrpintrở human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinnày human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinhậu human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinlà human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinngừng human Chorionic Gonadotrpindichuyển human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintại human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpingây human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin[2],[4], human Chorionic Gonadotrpin[14], human Chorionic Gonadotrpin[20]

1.2 Nguyên nhân gây chửa ngoài tử cung

Các human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchia human Chorionic Gonadotrpinthành human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinnhóm:

1.2.1 Nguyên nhân cơ học

nhất: human Chorionic Gonadotrpin human Chorionic GonadotrpinTheo human Chorionic GonadotrpinWestrom, human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin45% human Chorionic Gonadotrpincác human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền

sử human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinHậu human Chorionic Gonadotrpinquả human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpincho human Chorionic Gonadotrpinthành human Chorionic GonadotrpinVTC human Chorionic Gonadotrpindày,cứng, human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinnhu human Chorionic Gonadotrpinđộng, human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpincác human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpincó human Chorionic Gonadotrpinlông human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinchế human Chorionic Gonadotrpintiết, human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinmất human Chorionic Gonadotrpinyếu

tố human Chorionic Gonadotrpinđẩy human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinlông human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinkèm human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinluồng human Chorionic Gonadotrpindịch human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinlòng human Chorionic GonadotrpinVTC human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinlại, human Chorionic Gonadotrpindẫntới human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinchậm human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpinvận human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpincủa human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpinđồng human Chorionic Gonadotrpinthời human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpinlòng human Chorionic GonadotrpinVTC,cuối human Chorionic Gonadotrpincùng human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpintới human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpin[35]

 human Chorionic GonadotrpinKhối u ở vòi tử cung: human Chorionic GonadotrpinCác human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinu human Chorionic Gonadotrpinở human Chorionic GonadotrpinVTC human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinlành human Chorionic Gonadotrpintính human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinác human Chorionic Gonadotrpintính,

chèn human Chorionic Gonadotrpinép human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinlòng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpingây human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpinlòng human Chorionic GonadotrpinVTC human Chorionic GonadotrpinCó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpindo human Chorionic Gonadotrpinlạcnội human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinở human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinthanh human Chorionic Gonadotrpinmạc, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintửcung, human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpinlòng human Chorionic GonadotrpinVTC human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincunggặp human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinchỗ human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintại human Chorionic Gonadotrpinđó human Chorionic Gonadotrpingây human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpin[24]

Sự bất thường của vòi tử cung: human Chorionic GonadotrpinDo human Chorionic Gonadotrpincấu human Chorionic Gonadotrpintrúc human Chorionic Gonadotrpingiải human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

không human Chorionic Gonadotrpinhoàn human Chorionic Gonadotrpinchỉnh human Chorionic Gonadotrpinnhư human Chorionic GonadotrpinVTC human Chorionic Gonadotrpinkém human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển, human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinthừa, human Chorionic Gonadotrpinthiểu human Chorionic Gonadotrpinsản human Chorionic Gonadotrpincũng human Chorionic Gonadotrpingóp human Chorionic Gonadotrpinphầngây human Chorionic GonadotrpinCNTC[3],[4],[15]

1.2.2 Nguyên nhân cơ năng

 Trứng human Chorionic Gonadotrpinđi human Chorionic Gonadotrpinvòng: human Chorionic GonadotrpinNoãn human Chorionic Gonadotrpinphóng human Chorionic Gonadotrpinra human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinđi

vòng human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinđối human Chorionic Gonadotrpindiện human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpincho human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinvàquãng human Chorionic Gonadotrpinđường human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpindài human Chorionic Gonadotrpinra, human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinkịp human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinthì

đã human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintại human Chorionic GonadotrpinVTC human Chorionic GonadotrpinKhoảng human Chorionic Gonadotrpin16% human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinở human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinrụng human Chorionic Gonadotrpintrứngbên human Chorionic Gonadotrpinđối human Chorionic Gonadotrpindiện human Chorionic Gonadotrpin[6]

 human Chorionic Gonadotrpin Rối human Chorionic Gonadotrpinloạn human Chorionic Gonadotrpincân human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinnội human Chorionic Gonadotrpintiết: human Chorionic Gonadotrpin Rối human Chorionic Gonadotrpinloạn human Chorionic Gonadotrpincân human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinnội human Chorionic Gonadotrpintiết human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinlàm

thay human Chorionic Gonadotrpinđổi human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinco human Chorionic Gonadotrpinbóp human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào

lông human Chorionic Gonadotrpinmao human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinlòng human Chorionic GonadotrpinVTC, human Chorionic Gonadotrpinảnh human Chorionic Gonadotrpinhưởng human Chorionic Gonadotrpintới human Chorionic Gonadotrpinsự human Chorionic Gonadotrpindi human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpingây human Chorionic Gonadotrpinra human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin[4]

 human Chorionic GonadotrpinDo human Chorionic Gonadotrpinbản human Chorionic Gonadotrpinthân human Chorionic Gonadotrpinphôi: human Chorionic GonadotrpinPhôi human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinquá human Chorionic Gonadotrpinnhanh human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpinphân

bào human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpindo human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinthai, human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinlớn human Chorionic Gonadotrpinnhanh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinto human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpintronglòng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpindo human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinbị human Chorionic Gonadotrpingiữ human Chorionic Gonadotrpinlại human Chorionic Gonadotrpingây human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpin[4] human Chorionic Gonadotrpin[13]

1.2.3 Các yếu tố nguy cơ của chửa ngoài tử cung

1.2.3.1 Viêm vòi tử cung

Viêm human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinhay human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinnhất human Chorionic GonadotrpinTác human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpingây human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpingâyhiện human Chorionic Gonadotrpintượng human Chorionic Gonadotrpindính, human Chorionic Gonadotrpinhủy human Chorionic Gonadotrpinhoại human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinhoàn human Chorionic Gonadotrpintoànhay human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinhoàn human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpinlòng human Chorionic Gonadotrpinvòi

Berenson human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinminh human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpincó human Chorionic Gonadotrpingần human Chorionic Gonadotrpin11,3% human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinsauđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnhiễm human Chorionic Gonadotrpintrùng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinbị human Chorionic Gonadotrpintắc, human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinviêmlần human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin35% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinlần human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin75% human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinở human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin4% human Chorionic Gonadotrpinđến human Chorionic Gonadotrpin5% human Chorionic Gonadotrpin

1.2.3.2 Viêm vùng tiểu khung:

Theo human Chorionic GonadotrpinDulin human Chorionic Gonadotrpinvà human Chorionic GonadotrpinAker human Chorionic Gonadotrpin(2003), human Chorionic Gonadotrpintại human Chorionic GonadotrpinMỹ human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpincó human Chorionic Gonadotrpingần human Chorionic Gonadotrpinmột human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinnữmắc human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinnhiễm human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung, human Chorionic Gonadotrpinhậu human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin10% human Chorionic Gonadotrpingây human Chorionic Gonadotrpinvô human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin5% human Chorionic Gonadotrpingâychửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinnày human Chorionic Gonadotrpin

1.2.3.3 Nhiễm Chlamydia:

Nhiễm human Chorionic GonadotrpinChlamydia human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpingây human Chorionic Gonadotrpintổn human Chorionic Gonadotrpinthương human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintửcung human Chorionic GonadotrpinBerenson human Chorionic Gonadotrpintiến human Chorionic Gonadotrpinhành human Chorionic Gonadotrpinnuôi human Chorionic Gonadotrpincấy human Chorionic Gonadotrpin27 human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincắt human Chorionic Gonadotrpinhay

mở human Chorionic Gonadotrpinthông, human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpin6 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinviêm, human Chorionic Gonadotrpin2 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinnhiễm human Chorionic GonadotrpinChlamydia human Chorionic Gonadotrpinvà

17 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkháng human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinthanh human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính human Chorionic Gonadotrpin[31]

1.2.3.4 Tiền sử phẫu thuật vùng tiểu khung và phẫu thuật vòi tử cung:

Nhiều human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincho human Chorionic Gonadotrpinrằng human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinliên human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinchặt human Chorionic Gonadotrpinchẽvới human Chorionic GonadotrpinCNTC human Chorionic GonadotrpinNghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinở human Chorionic GonadotrpinViệt human Chorionic GonadotrpinNam(1995) human Chorionic Gonadotrpincho human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhungtăng human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin3-4 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinchứng human Chorionic GonadotrpinHơn human Chorionic Gonadotrpinnữa human Chorionic Gonadotrpinnếubệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinphúc human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinruột human Chorionic Gonadotrpinthừa human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincungtăng human Chorionic Gonadotrpingấp human Chorionic Gonadotrpin9 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpin[20]

Tiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincoi human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinyếu human Chorionic Gonadotrpintố human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinvớichửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinTheo human Chorionic GonadotrpinPhan human Chorionic GonadotrpinViết human Chorionic GonadotrpinTâm, human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử

mổ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpintại human Chorionic GonadotrpinBVPSTW human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin1999- human Chorionic Gonadotrpin2000 human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin14,83%.[16]

1.2.3.5 Sử dụng các biện pháp tránh thai:

 Đặt human Chorionic GonadotrpinDCTC: human Chorionic GonadotrpinNgười human Chorionic Gonadotrpinmang human Chorionic Gonadotrpindụng human Chorionic Gonadotrpincụ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvẫn human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài

tử human Chorionic Gonadotrpincung human Chorionic Gonadotrpindo human Chorionic GonadotrpinDCTC human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinngăn human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintheonghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinPhạm human Chorionic GonadotrpinThanh human Chorionic GonadotrpinHiền human Chorionic Gonadotrpin(1998) human Chorionic GonadotrpinBVPSTW human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin3%, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinở human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinphố human Chorionic GonadotrpinHồChí human Chorionic GonadotrpinMinh human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin17% human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic GonadotrpincủaTạ human Chorionic GonadotrpinThanh human Chorionic GonadotrpinThủy human Chorionic Gonadotrpin(1997) human Chorionic GonadotrpinTuy human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpincũng

có human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinthế human Chorionic Gonadotrpingiới human Chorionic Gonadotrpincho human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinmang human Chorionic GonadotrpinDCTC human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinmốiliên human Chorionic Gonadotrpinhệ human Chorionic Gonadotrpinrõ human Chorionic Gonadotrpinràng human Chorionic Gonadotrpinvới human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpin[8],[18],[19]

 Thuốc human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinthai: human Chorionic GonadotrpinSử human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinviên human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinthực human Chorionic Gonadotrpinsựbệnh human Chorionic Gonadotrpinlý human Chorionic GonadotrpinCNTC, human Chorionic Gonadotrpintuy human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpinvẫn human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinmột human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinviên human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinthaiđơn human Chorionic Gonadotrpinthuần human Chorionic Gonadotrpinchứa human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpin( human Chorionic Gonadotrpinức human Chorionic Gonadotrpinchế human Chorionic Gonadotrpinco human Chorionic Gonadotrpinthắt human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung), human Chorionic Gonadotrpin human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinthuốcviên human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinsau human Chorionic Gonadotrpingiao human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpin( human Chorionic GonadotrpinEstrogen human Chorionic Gonadotrpinliều human Chorionic Gonadotrpincao) human Chorionic GonadotrpinTatum, human Chorionic GonadotrpinSchmid human Chorionic Gonadotrpincảnh human Chorionic GonadotrpinbáoCNTC human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinxảy human Chorionic Gonadotrpinra human Chorionic Gonadotrpinở human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinnữ human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinviên human Chorionic Gonadotrpintránh human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinprogesteronhay human Chorionic Gonadotrpinoestrogen human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpinthuần human Chorionic Gonadotrpin( human Chorionic Gonadotrpingây human Chorionic Gonadotrpinco human Chorionic Gonadotrpinthắt human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpineo human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung)

 Đình human Chorionic Gonadotrpinsản: human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpintử human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinxuất human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpinmuộn human Chorionic Gonadotrpin4-5 human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđình human Chorionic Gonadotrpinsản,nguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinlà human Chorionic Gonadotrpindo human Chorionic Gonadotrpinhình human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinlỗ human Chorionic Gonadotrpinrò human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng

1.2.3.6 Tiền sử nạo hút thai và sảy thai tự nhiên:

Tiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinlần human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpingóp human Chorionic Gonadotrpinphần human Chorionic Gonadotrpinlàmgia human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung,theo human Chorionic GonadotrpinTạ human Chorionic GonadotrpinThanh human Chorionic GonadotrpinThủy human Chorionic Gonadotrpinyếu human Chorionic Gonadotrpintố human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin3,1 human Chorionic Gonadotrpinlần.Nạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpinkiện human Chorionic Gonadotrpinvô human Chorionic Gonadotrpinkhuẩn human Chorionic Gonadotrpinkém, human Chorionic Gonadotrpinthiếu human Chorionic Gonadotrpinphương human Chorionic Gonadotrpintiện human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpintrên

phụ human Chorionic Gonadotrpinnữa human Chorionic Gonadotrpincó human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpindo human Chorionic GonadotrpinChlamydia human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinnhiễm human Chorionic Gonadotrpinkhuẩn human Chorionic Gonadotrpinngượcdòng human Chorionic Gonadotrpinlên human Chorionic Gonadotrpinđường human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpindục human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinyếu human Chorionic Gonadotrpintố human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpin[18]

Theo human Chorionic GonadotrpinVương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa, human Chorionic Gonadotrpin“Nghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinmối human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinhệ human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintửcung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai” human Chorionic Gonadotrpintại human Chorionic GonadotrpinBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic Gonadotrpinsản human Chorionic Gonadotrpintrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpintừ human Chorionic Gonadotrpintháng12/1995-4/1996 human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin38 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai,kết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpingiải human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpintrả human Chorionic Gonadotrpinlời human Chorionic Gonadotrpincó human Chorionic Gonadotrpin73,7% human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpin human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinmạn human Chorionic Gonadotrpintính human Chorionic Gonadotrpin[11]

Nạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpincàng human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinlần human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincàng human Chorionic Gonadotrpincao human Chorionic GonadotrpinTạiBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic GonadotrpinTrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinMai human Chorionic GonadotrpinThanh human Chorionic GonadotrpinHằng human Chorionic Gonadotrpinthì human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpin1 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin17,87%, human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin2lần human Chorionic Gonadotrpintrở human Chorionic Gonadotrpinlên human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin human Chorionic Gonadotrpin25,9% human Chorionic GonadotrpinTheo human Chorionic GonadotrpinPhan human Chorionic GonadotrpinViết human Chorionic GonadotrpinTâm, human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsửnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpin1 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin14,85%, human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpin human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin33,07%.[16]

human Chorionic Gonadotrpin Không human Chorionic Gonadotrpincó human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinliên human Chorionic Gonadotrpinquan human Chorionic Gonadotrpingiữa human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpinvới human Chorionic GonadotrpinCNTC,nhưng human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinliên human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinlần human Chorionic Gonadotrpintái human Chorionic Gonadotrpinphát human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintăng human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin2-4 human Chorionic Gonadotrpinlần human Chorionic GonadotrpinSựliên human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintheo human Chorionic Gonadotrpintác human Chorionic Gonadotrpingiả human Chorionic Gonadotrpinlà human Chorionic Gonadotrpindo human Chorionic Gonadotrpinnhiễm human Chorionic Gonadotrpinkhuẩn human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinthai human Chorionic GonadotrpinĐặc human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhữngtrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinphá human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinbất human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpintăng human Chorionic Gonadotrpingấp human Chorionic Gonadotrpin10 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhữngtrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường

1.2.3.7 Các kỹ thuật hỗ trợ sinh sản:

Các human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinhỗ human Chorionic Gonadotrpintrợ human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinsản human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinnguy human Chorionic Gonadotrpincơ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinhtrong human Chorionic Gonadotrpinống human Chorionic Gonadotrpinnghiệm, human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpinsử human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthíchphóng human Chorionic Gonadotrpinnoãn human Chorionic Gonadotrpin[6]

Trường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpinống human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpintiên human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinthế human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinlà human Chorionic GonadotrpinCNTC.Chửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin2-11% human Chorionic Gonadotrpincác human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinống human Chorionic Gonadotrpinnghiệm

và human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinrõ, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpindo human Chorionic Gonadotrpinbơm human Chorionic Gonadotrpintrực human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinvào human Chorionic GonadotrpinVTC; human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

co human Chorionic Gonadotrpinbóp human Chorionic Gonadotrpinđẩy human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinvào human Chorionic GonadotrpinVTC human Chorionic Gonadotrpin

Theo human Chorionic GonadotrpinTummon human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincộng human Chorionic Gonadotrpinsự, human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinvừa human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvừa human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinởnhóm human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpinống human Chorionic Gonadotrpin human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpincao human Chorionic Gonadotrpingấp human Chorionic Gonadotrpin100 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin200 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpincác human Chorionic Gonadotrpinchu human Chorionic Gonadotrpinkỳ human Chorionic Gonadotrpincóthai human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhiên

 Hút human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinlá: Nguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinở human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinlá human Chorionic Gonadotrpincao

gấp human Chorionic Gonadotrpin1,9 human Chorionic human Chorionic Gonadotrpin4,2 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinlá human Chorionic GonadotrpinNguy human Chorionic Gonadotrpincơ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpintăng human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin2 human Chorionic

Gonadotrpin-4 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinở human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinhút human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin10 human Chorionic Gonadotrpinđiếu human Chorionic Gonadotrpinthuốc/ngày human Chorionic Gonadotrpin[2Gonadotrpin-4]

1.3 Methotrexat:

1.3.1 Cơ chế tác dụng:

Methotrexat human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinxuất human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinfolic, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpintổng human Chorionic GonadotrpinhợpMTX human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinta human Chorionic Gonadotrpinthay human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpin4 human Chorionic Gonadotrpin– human Chorionic Gonadotrpinhydroxyl human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinfolic human Chorionic Gonadotrpinbởi human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinamino human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinthaynguyên human Chorionic Gonadotrpintử human Chorionic Gonadotrpinhydro human Chorionic Gonadotrpinở human Chorionic Gonadotrpinvị human Chorionic Gonadotrpintrí human Chorionic Gonadotrpin10 human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpinmethyl human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinở human Chorionic Gonadotrpinpha human Chorionic GonadotrpinS human Chorionic Gonadotrpincủaquá human Chorionic Gonadotrpin trình human Chorionic Gonadotrpin phân human Chorionic Gonadotrpin chia human Chorionic Gonadotrpin tế human Chorionic Gonadotrpin bào human Chorionic Gonadotrpin , human Chorionic Gonadotrpin human Chorionic Gonadotrpin bằng human Chorionic Gonadotrpin cách human Chorionic Gonadotrpin cạnh human Chorionic Gonadotrpin tranh human Chorionic Gonadotrpin với human Chorionic Gonadotrpin men human Chorionic Gonadotrpin hydrofolatereductase human Chorionic Gonadotrpin và human Chorionic Gonadotrpin làm human Chorionic Gonadotrpin giảm human Chorionic Gonadotrpin quá human Chorionic Gonadotrpin trình human Chorionic Gonadotrpin vận human Chorionic Gonadotrpin chuyển human Chorionic Gonadotrpin dihydrofolic human Chorionic Gonadotrpin (FH2) human Chorionic Gonadotrpin human Chorionic Gonadotrpin thànhtetrahydrofolic human Chorionic Gonadotrpinacid human Chorionic GonadotrpinCác human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpinchất human Chorionic Gonadotrpinfolate human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpinhóa human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinrất human Chorionic Gonadotrpincần human Chorionic Gonadotrpinthiết human Chorionic Gonadotrpincho

sự human Chorionic Gonadotrpinchuyển human Chorionic Gonadotrpindạng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpinvị human Chorionic GonadotrpinC1 human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintổng human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinpyrimudine, human Chorionic Gonadotrpinpurine human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincác human Chorionic Gonadotrpinaminoacid human Chorionic GonadotrpinVì human Chorionic Gonadotrpinvậy human Chorionic GonadotrpinMTX human Chorionic Gonadotrpincó human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinức human Chorionic Gonadotrpinchế human Chorionic Gonadotrpintổng human Chorionic Gonadotrpinhợp human Chorionic GonadotrpinDNA, human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingián human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrìnhphân human Chorionic Gonadotrpinbào human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinđó human Chorionic Gonadotrpingây human Chorionic Gonadotrpinchết human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic GonadotrpinNhững human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpintăng human Chorionic Gonadotrpintrưởng human Chorionic Gonadotrpinmạnh human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpincảmhơn human Chorionic Gonadotrpincác human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường human Chorionic GonadotrpinMTX human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpindiệt human Chorionic Gonadotrpincác human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinung human Chorionic Gonadotrpinthư human Chorionic Gonadotrpinmà human Chorionic Gonadotrpinít human Chorionic Gonadotrpinảnhhưởng human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinmô human Chorionic Gonadotrpinlành

Tương human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinchế human Chorionic Gonadotrpindiệt human Chorionic Gonadotrpincác human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpinung human Chorionic Gonadotrpinthư, human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinngăn human Chorionic Gonadotrpinchặn human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrìnhtổng human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincác human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinở human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh, human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingián human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbàodẫn human Chorionic Gonadotrpintới human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinchết human Chorionic Gonadotrpin human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinhủy

1.3.2 Dược động học:

Với human Chorionic Gonadotrpinliều human Chorionic Gonadotrpincao human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpintruyền, human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpintương human Chorionic Gonadotrpinđạt human Chorionic Gonadotrpintối human Chorionic Gonadotrpinđangay human Chorionic Gonadotrpinlập human Chorionic Gonadotrpintức human Chorionic Gonadotrpin human Chorionic GonadotrpinSau human Chorionic Gonadotrpintiêm, human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpindiễn human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpintrải human Chorionic Gonadotrpinqua human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinpha human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinthờigian human Chorionic Gonadotrpinbán human Chorionic Gonadotrpinthải human Chorionic Gonadotrpintrung human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin0,75h; human Chorionic Gonadotrpin3.39h, human Chorionic Gonadotrpin26.9h human Chorionic Gonadotrpin80-95% human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinđàothải human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinthận human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinvòng human Chorionic Gonadotrpin24-30h human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpinkiện human Chorionic Gonadotrpinchức human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinthận human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường.Trong human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinchức human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinthận human Chorionic Gonadotrpinsuy human Chorionic Gonadotrpingiảm, human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinống human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinhóa, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinnếunhư human Chorionic Gonadotrpincó human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinmàng human Chorionic Gonadotrpinphổi, human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinmàng human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinthì human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinứ human Chorionic Gonadotrpinlại human Chorionic Gonadotrpintrong human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinthể human Chorionic GonadotrpinKhi

đó human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinkéo human Chorionic Gonadotrpindài human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinmức human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpin[23],[26],[32]

Trong human Chorionic Gonadotrpin khi human Chorionic Gonadotrpin dùng human Chorionic Gonadotrpin MTX human Chorionic Gonadotrpin không human Chorionic Gonadotrpin được human Chorionic Gonadotrpin dùng human Chorionic Gonadotrpin kém human Chorionic Gonadotrpin những human Chorionic Gonadotrpin thuốc human Chorionic Gonadotrpin sau:

salicylat, human Chorionic Gonadotrpinsulfonamid, human Chorionic Gonadotrpintetracyclin, human Chorionic Gonadotrpincloramphenicol, human Chorionic Gonadotrpinpara-aminobenzoic human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinvì

sẽ human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpintính human Chorionic Gonadotrpincủa human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinvới human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinthể human Chorionic GonadotrpinKhông human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinkèm human Chorionic Gonadotrpincác human Chorionic Gonadotrpinvitamine human Chorionic Gonadotrpincóchứa human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinfolic human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinlực human Chorionic Gonadotrpinthuốc

1.3.6 Tác dụng phụ và độc tính:

- human Chorionic GonadotrpinBuồn human Chorionic Gonadotrpinnôn, human Chorionic Gonadotrpinnôn human Chorionic Gonadotrpinkhan, human Chorionic Gonadotrpinmệt human Chorionic Gonadotrpinmỏi human Chorionic Gonadotrpinmẩn human Chorionic Gonadotrpinngứa, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpingây human Chorionic Gonadotrpinxuất human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpindưới human Chorionic Gonadotrpinda

- human Chorionic GonadotrpinHệ human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinmáu: human Chorionic Gonadotrpingây human Chorionic Gonadotrpinsuy human Chorionic Gonadotrpintủy, human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinba human Chorionic Gonadotrpindòng, human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpingamaglobulin human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpindùngkéo human Chorionic Gonadotrpindài

- human Chorionic GonadotrpinHệ human Chorionic Gonadotrpinthống human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinhóa: human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpindạ human Chorionic Gonadotrpindày, human Chorionic Gonadotrpinỉa human Chorionic Gonadotrpinchảy, human Chorionic Gonadotrpinloét human Chorionic Gonadotrpinđường human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinhóa human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinchảymáu, human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpinvới human Chorionic Gonadotrpintế human Chorionic Gonadotrpinbào human Chorionic Gonadotrpingan human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinkéo human Chorionic Gonadotrpindài

- human Chorionic GonadotrpinHệ human Chorionic Gonadotrpintiết human Chorionic Gonadotrpinniệu: human Chorionic Gonadotrpingây human Chorionic Gonadotrpinsuy human Chorionic Gonadotrpinthận, human Chorionic Gonadotrpinviêm human Chorionic Gonadotrpinbàng human Chorionic Gonadotrpinquang, human Chorionic Gonadotrpinđái human Chorionic Gonadotrpinmáu

- human Chorionic GonadotrpinHệ human Chorionic Gonadotrpinthần human Chorionic Gonadotrpinkinh; human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinđầu, human Chorionic Gonadotrpinnhìn human Chorionic Gonadotrpinmờ, human Chorionic Gonadotrpinco human Chorionic Gonadotrpingiật, human Chorionic Gonadotrpintăng human Chorionic Gonadotrpináp human Chorionic Gonadotrpinlực human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinnão human Chorionic Gonadotrpintủy

1.3.7 Chế phẩm và đường dùng:

- human Chorionic GonadotrpinĐường human Chorionic Gonadotrpinuống: human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin1h, human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinhấp human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpincòn human Chorionic Gonadotrpin1/3 human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpintácdụng human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpin(5-10mg) human Chorionic GonadotrpinLiều human Chorionic Gonadotrpin30mg human Chorionic Gonadotrpintrở human Chorionic Gonadotrpinlên human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinthuốckhông human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinmà human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpintính human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinvậy, human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinliều human Chorionic Gonadotrpincao human Chorionic Gonadotrpinphải human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinđường human Chorionic Gonadotrpintiêm

- human Chorionic GonadotrpinĐường human Chorionic Gonadotrpintiêm: human Chorionic Gonadotrpincó human Chorionic Gonadotrpinloại human Chorionic Gonadotrpin5mg, human Chorionic Gonadotrpin10mg, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin50mg, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinbắp, human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpintĩnhmạch, human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpinmạch, human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinkhoang human Chorionic Gonadotrpindưới human Chorionic Gonadotrpinnhện human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinnão human Chorionic Gonadotrpinthất

- human Chorionic GonadotrpinĐường human Chorionic Gonadotrpintruyền: human Chorionic Gonadotrpincó human Chorionic Gonadotrpinloại human Chorionic Gonadotrpin500mg, human Chorionic Gonadotrpin1000mg human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin5000mg human Chorionic Gonadotrpintruyền human Chorionic Gonadotrpintĩnh human Chorionic Gonadotrpinmạch.Dung human Chorionic Gonadotrpin dịch human Chorionic Gonadotrpin MTX human Chorionic Gonadotrpin có human Chorionic Gonadotrpin thể human Chorionic Gonadotrpin giữ human Chorionic Gonadotrpin ở human Chorionic Gonadotrpin nhiệt human Chorionic Gonadotrpin độ human Chorionic Gonadotrpin phòng human Chorionic Gonadotrpin dưới human Chorionic Gonadotrpin 25°C human Chorionic Gonadotrpin Liều human Chorionic Gonadotrpin cao human Chorionic Gonadotrpin hơn100mg/m² human Chorionic Gonadotrpinda human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpintruyền human Chorionic Gonadotrpintĩnh human Chorionic Gonadotrpinmạch human Chorionic GonadotrpinChỉ human Chorionic Gonadotrpinđược human Chorionic Gonadotrpindùng human Chorionic Gonadotrpindung human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinmớipha, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinsuốt, human Chorionic Gonadotrpindùng human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinlấn human Chorionic Gonadotrpintránh human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpinxúc human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinda human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc

1.4 Triệu chứng điển hình của chửa ngoài tử cung:

1.4.1.Triệu chứng lâm sàng:

* Triệu chứng cơ năng:

Bộ human Chorionic Gonadotrpin3 human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinkinh human Chorionic Gonadotrpinđiển human Chorionic Gonadotrpingồm:

- Chậm human Chorionic Gonadotrpinkinh: human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin1/3 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinrã human Chorionic Gonadotrpindấu human Chorionic Gonadotrpinhiệuchậm human Chorionic Gonadotrpinkinh human Chorionic Gonadotrpin[10]

- Ra human Chorionic Gonadotrpinmáu: human Chorionic Gonadotrpinlà human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinphổ human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinchậm human Chorionic Gonadotrpinkinh human Chorionic Gonadotrpinít human Chorionic Gonadotrpinngày

đã human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic GonadotrpinMáu human Chorionic Gonadotrpinra human Chorionic Gonadotrpin human Chorionic Gonadotrpinmàu human Chorionic Gonadotrpinnâu human Chorionic Gonadotrpinđen, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinlẫn human Chorionic Gonadotrpinmàng human Chorionic GonadotrpinKhối human Chorionic Gonadotrpinlượng, human Chorionic Gonadotrpinmàu human Chorionic Gonadotrpinsắckhông human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinhành human Chorionic Gonadotrpinkinh human Chorionic GonadotrpinTheo human Chorionic GonadotrpinVương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa, human Chorionic Gonadotrpin92% human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpincó human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpin( human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpin76,6% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrịchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin92%).[11]

- Đau human Chorionic Gonadotrpinbụng: human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinhay human Chorionic Gonadotrpingặp human Chorionic GonadotrpinĐặc human Chorionic Gonadotrpinđiểm human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinỉ human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpinhạ human Chorionic Gonadotrpinvị, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincơn, human Chorionic Gonadotrpinmỗi human Chorionic Gonadotrpincơn human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinra human Chorionic Gonadotrpinít human Chorionic Gonadotrpinhuyết.Đau human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpincao( human Chorionic Gonadotrpin90,2%) human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpin(65%).[10],[11]

* Triệu chứng thực thể:

Thăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinsờ human Chorionic Gonadotrpinnắn human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinthấy:

- Cổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin, human Chorionic Gonadotrpinthân human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinmềm, human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhơi human Chorionic Gonadotrpinto human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpintươngxứng human Chorionic Gonadotrpinvới human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinthai.

- Cạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinsờ human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinmềm,ranh human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinrõ, human Chorionic Gonadotrpinấn human Chorionic Gonadotrpinđau.Dấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinrất human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpin86,5% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoándương human Chorionic Gonadotrpintính human Chorionic Gonadotrpin90%.[11]

- Thăm human Chorionic Gonadotrpintúi human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinsau: human Chorionic Gonadotrpinở human Chorionic Gonadotrpinthời human Chorionic Gonadotrpinkỳ human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinmềm human Chorionic Gonadotrpinmại human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđau, human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinnếu

có human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinthì human Chorionic Gonadotrpintúi human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinsau human Chorionic Gonadotrpincó human Chorionic Gonadotrpinphản human Chorionic Gonadotrpinứng human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinsớm, human Chorionic Gonadotrpintúi human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđầy human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinchói human Chorionic Gonadotrpinkhithăm human Chorionic Gonadotrpinkhám

1.4.2 Các xét nghiệm, thăm dò:

1.4.2.1 Siêu âm đường âm đạo

* Dấu hiệu trực tiếp: thấy human Chorionic Gonadotrpinhình human Chorionic Gonadotrpinảnh human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể

thấy human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinvang human Chorionic Gonadotrpinthai, human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpincủa human Chorionic Gonadotrpintim human Chorionic Gonadotrpinthai human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin

* Dấu hiệu gián tiếp:

human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin+ human Chorionic GonadotrpinDấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung: human Chorionic GonadotrpinBuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinrỗng, human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinthườngđáp human Chorionic Gonadotrpinứng human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnội human Chorionic Gonadotrpintiết human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinthường human Chorionic Gonadotrpindày human Chorionic Gonadotrpin> human Chorionic Gonadotrpin8 human Chorionic Gonadotrpinmm human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinâm, human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinsố human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợpniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinmỏng human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin

human Chorionic Gonadotrpin+ human Chorionic GonadotrpinDịch human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng: human Chorionic GonadotrpinDấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpinthuần human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpin20%, human Chorionic Gonadotrpincác human Chorionic Gonadotrpinvị human Chorionic Gonadotrpintrí human Chorionic Gonadotrpincóthể human Chorionic Gonadotrpingặp: human Chorionic GonadotrpinCùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpinsau, human Chorionic Gonadotrpincác human Chorionic Gonadotrpinkhoang human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic GonadotrpinDấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinphản human Chorionic Gonadotrpinánh human Chorionic Gonadotrpintìnhtrạng human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpincăng human Chorionic Gonadotrpinrỉ human Chorionic Gonadotrpinmáu, human Chorionic Gonadotrpinrỉ human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinloa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpinsẩy human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinloa human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintửcung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpin[5]

1.4.2.2 Nồng độ βhCG:hCG:

Định human Chorionic Gonadotrpinlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinrất human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán, human Chorionic Gonadotrpintheo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinBản human Chorionic Gonadotrpinchất human Chorionic GonadotrpinhCG human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinglycoprotein human Chorionic Gonadotrpincó human Chorionic Gonadotrpincấu human Chorionic Gonadotrpintrúc human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinhormonecủa human Chorionic Gonadotrpintuyến human Chorionic Gonadotrpinyên human Chorionic Gonadotrpinnhư human Chorionic GonadotrpinFSH,LH,TSH human Chorionic GonadotrpinPhân human Chorionic Gonadotrpintử human Chorionic GonadotrpinhCG human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincấu human Chorionic Gonadotrpintạo human Chorionic Gonadotrpingồm human Chorionic Gonadotrpinhai human Chorionic Gonadotrpinchuỗi human Chorionic Gonadotrpinα

và human Chorionic GonadotrpinβhCG, human Chorionic Gonadotrpinđược human Chorionic Gonadotrpingắn human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhau human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinliên human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđồng human Chorionic Gonadotrpinhóa human Chorionic Gonadotrpintrị, human Chorionic Gonadotrpinkỵ human Chorionic Gonadotrpinnước human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintĩnh

điện human Chorionic Gonadotrpinchuỗi human Chorionic Gonadotrpinα human Chorionic Gonadotrpincủa human Chorionic GonadotrpinhCG human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinchuỗi human Chorionic Gonadotrpinα human Chorionic Gonadotrpincủa human Chorionic Gonadotrpincác human Chorionic Gonadotrpinhormone human Chorionic GonadotrpinFSH, human Chorionic GonadotrpinLH, human Chorionic GonadotrpinTSH human Chorionic GonadotrpinChuỗiβhCG human Chorionic Gonadotrpincủa human Chorionic GonadotrpinhCG human Chorionic Gonadotrpincó human Chorionic Gonadotrpintrọng human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinphân human Chorionic Gonadotrpintử human Chorionic Gonadotrpin22200 human Chorionic Gonadotrpindaltons human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinchuỗi human Chorionic GonadotrpinβhCG human Chorionic Gonadotrpincủa human Chorionic GonadotrpinLH80%, human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpinlà human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthêm human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpinpeptide human Chorionic Gonadotrpintận human Chorionic Gonadotrpincùng human Chorionic Gonadotrpingồm human Chorionic Gonadotrpin24 human Chorionic Gonadotrpinacid human Chorionic Gonadotrpinamin human Chorionic GonadotrpinChínhđoạn human Chorionic Gonadotrpinpepetid human Chorionic Gonadotrpintận human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinquyết human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpintính human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinhCG human Chorionic GonadotrpinDo human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinđịnhlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinchính human Chorionic Gonadotrpinxác human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinlượng human Chorionic GonadotrpinhCG human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpinphần human Chorionic GonadotrpinβhCGhCGxuất human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinmẹ human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinngày human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpin8 human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh, human Chorionic Gonadotrpintăng human Chorionic Gonadotrpincao human Chorionic Gonadotrpinnhánh human Chorionic Gonadotrpinchóng

từ human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpin5 human Chorionic Gonadotrpintới human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpin9, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinduy human Chorionic Gonadotrpintrì human Chorionic Gonadotrpindạng human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinnguyên human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinsuốt human Chorionic Gonadotrpingiaiđoạn human Chorionic Gonadotrpinsau human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinkì human Chorionic Gonadotrpin[24] human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường human Chorionic Gonadotrpin, human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpintăng human Chorionic Gonadotrpingấpđôi human Chorionic Gonadotrpincủa human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintrng human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpintương human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin24h, human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinít human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin66%[10] human Chorionic GonadotrpinNếu human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinquácao human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinquá human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpinđều human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinbiểu human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbất human Chorionic Gonadotrpinthường human Chorionic GonadotrpinPittaway human Chorionic Gonadotrpinkhẳngđịnh human Chorionic Gonadotrpinquy human Chorionic Gonadotrpinluật human Chorionic Gonadotrpintăng human Chorionic Gonadotrpingấp human Chorionic Gonadotrpinđôi human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđúng human Chorionic Gonadotrpinki human Chorionic Gonadotrpinthai human Chorionic Gonadotrpin≤ human Chorionic Gonadotrpin6 human Chorionic Gonadotrpintuần, human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthia human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin6 human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinvànồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinlớn human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpin6000 human Chorionic Gonadotrpin– human Chorionic Gonadotrpin10000 human Chorionic GonadotrpinUI/L human Chorionic Gonadotrpinthì human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinchậm human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinkhông

ổn human Chorionic Gonadotrpinđịnh human Chorionic GonadotrpinTheo human Chorionic GonadotrpinKadar, human Chorionic GonadotrpinPittaway human Chorionic Gonadotrpinnhận human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinnồng human Chorionic GonadotrpinđộβhCGhCG human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinít human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinnguyê, human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpintăng human Chorionic Gonadotrpingấp human Chorionic Gonadotrpinđôi human Chorionic Gonadotrpinkéo human Chorionic Gonadotrpindài human Chorionic Gonadotrpintrên

7 human Chorionic Gonadotrpinngày human Chorionic GonadotrpinTheo human Chorionic GonadotrpinVương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa human Chorionic Gonadotrpin(2003) human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinthanh human Chorionic Gonadotrpinrấttahy human Chorionic Gonadotrpinđổi, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbó human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinquy human Chorionic Gonadotrpinluật human Chorionic Gonadotrpinchuẩn human Chorionic GonadotrpinMối human Chorionic Gonadotrpinlien human Chorionic Gonadotrpinhệ human Chorionic Gonadotrpingiữa human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđọ human Chorionic GonadotrpinβhCGhCG

và human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinlỏng human Chorionic Gonadotrpinlẻo human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinr human Chorionic Gonadotrpin<0,1 human Chorionic GonadotrpinNồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin human Chorionic Gonadotrpin≥ human Chorionic Gonadotrpin700 human Chorionic GonadotrpinIU/L human Chorionic Gonadotrpinrất

có human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpin75% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiátrị human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin91,3%.[11]

1.4.2.3 Kết hợp siêu âm đường âm đạo và xét nghiệm βhCG:hCG

- human Chorionic GonadotrpinNgưỡng human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpincủa human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin(discriminatory human Chorionic Gonadotrpinzone human Chorionic Gonadotrpinserum human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintitre) human Chorionic Gonadotrpin

là human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinhạn human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinmà human Chorionic Gonadotrpintrên human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinhạn human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinluôn human Chorionic Gonadotrpinluôn human Chorionic Gonadotrpinnhìnthấy human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinsiêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung

- human Chorionic GonadotrpinSiêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđường human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinphát human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinkhinồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin≥ human Chorionic Gonadotrpin1000 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin1500 human Chorionic GonadotrpinmIU/ml human Chorionic GonadotrpinKhi human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin≥ human Chorionic Gonadotrpin1000-1500 human Chorionic GonadotrpinmIU/

ml, human Chorionic Gonadotrpinmà human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinnhìn human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinthì human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintiên human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincaovới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpin90 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin95% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpin95%

- human Chorionic GonadotrpinKết human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinsiêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđường human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinxét human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpinloạt human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin±ngưỡng human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpincủa human Chorionic GonadotrpinβhCGhCG: human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường, human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintănggấp human Chorionic Gonadotrpinđôi human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin2 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin3,5 human Chorionic Gonadotrpinngày human Chorionic Gonadotrpin(trung human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinngày) human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinthời human Chorionic Gonadotrpingian human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin4 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin8 human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinvàtăng human Chorionic Gonadotrpinít human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin66% human Chorionic GonadotrpinTuy human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpincũng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinngoại human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpin:

+ human Chorionic GonadotrpinKhoảng human Chorionic Gonadotrpin15% human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintăngdưới human Chorionic Gonadotrpin66% human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin48 human Chorionic Gonadotrpingiờ human Chorionic GonadotrpinDo human Chorionic Gonadotrpinđó, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthườnghay human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbất human Chorionic Gonadotrpinthường

+ human Chorionic GonadotrpinKhoảng human Chorionic Gonadotrpin17% human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinbiểu human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCGsau human Chorionic Gonadotrpin48 human Chorionic Gonadotrpingiờ human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

Do human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincần human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpinloạt human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ human Chorionic Gonadotrpincác human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợpngoại human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpintrên human Chorionic GonadotrpinNhư human Chorionic Gonadotrpinvậy human Chorionic Gonadotrpinviệc human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpinloạt human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpingiảmbất human Chorionic Gonadotrpinthường human Chorionic Gonadotrpingợi human Chorionic Gonadotrpiný human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinđến human Chorionic Gonadotrpin1 human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpinbất human Chorionic Gonadotrpinthường, human Chorionic Gonadotrpinthậm human Chorionic Gonadotrpinchí human Chorionic Gonadotrpintrước human Chorionic Gonadotrpinkhi human Chorionic GonadotrpinβhCGhCGđạt human Chorionic Gonadotrpintới human Chorionic Gonadotrpinngưỡng human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbiệt human Chorionic GonadotrpinKết human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincác human Chorionic Gonadotrpindấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinrỗng, human Chorionic Gonadotrpinđịnhlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpinloạt human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinngưỡng human Chorionic Gonadotrpinphân human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpincủa human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpin95 human Chorionic Gonadotrpin- human Chorionic Gonadotrpin99% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinđặc human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpin98%.[5], human Chorionic Gonadotrpin[11], human Chorionic Gonadotrpin[24], human Chorionic Gonadotrpin[30]

1.4.2.4 Soi ổ bụng

human Chorionic GonadotrpinNội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinvừa human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinvừa human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinNgoài human Chorionic Gonadotrpinranội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpincòn human Chorionic Gonadotrpingiúp human Chorionic Gonadotrpinđánh human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung human Chorionic Gonadotrpin(dính human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinlạc human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpintử

cung) human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinđánh human Chorionic Gonadotrpingiá human Chorionic Gonadotrpinđược human Chorionic Gonadotrpintình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinđối human Chorionic Gonadotrpindiện human Chorionic GonadotrpinTất human Chorionic Gonadotrpincả human Chorionic Gonadotrpincácthông human Chorionic Gonadotrpintin human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinrất human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinviệc human Chorionic Gonadotrpintư human Chorionic Gonadotrpinvấn human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinvô human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinnày human Chorionic Gonadotrpin.

1.4.2.5 Các xét nghiệm và thăm dò khác chẩn đoán chửa ngoài tử cung

* Định lượng progesteron

Năm human Chorionic Gonadotrpin1992, human Chorionic GonadotrpinStovall human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincộng human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpincho

1000 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnghén human Chorionic Gonadotrpintrong human Chorionic Gonadotrpin3 human Chorionic Gonadotrpintháng human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinthấy, human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpinthấpnhất human Chorionic Gonadotrpinliên human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinsống human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin5,1 human Chorionic Gonadotrpinng/ml, human Chorionic Gonadotrpindo human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincác human Chorionic Gonadotrpinnhà human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinthiếtlập human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinngưỡng human Chorionic Gonadotrpingiới human Chorionic Gonadotrpinhạn human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinprogesteron human Chorionic GonadotrpinNồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpin>

25 human Chorionic Gonadotrpinng/ml human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincungvới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy human Chorionic Gonadotrpin97,5% human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpin< human Chorionic Gonadotrpin5 human Chorionic Gonadotrpinng/ml human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchẩnđoán human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinchết human Chorionic Gonadotrpin(có human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung) human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinnhạy100% human Chorionic Gonadotrpin[9],[33]

* Hút buồng tử cung

- human Chorionic GonadotrpinTheo human Chorionic GonadotrpinStovall human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincộng human Chorionic Gonadotrpinsự, human Chorionic Gonadotrpinnếu human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin8 human Chorionic Gonadotrpin-12 human Chorionic Gonadotrpintiếng, human Chorionic Gonadotrpinnồng

độ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin15% human Chorionic Gonadotrpinthì human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinnghi human Chorionic Gonadotrpinngờ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin[32]

- human Chorionic GonadotrpinNếu human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpin> human Chorionic Gonadotrpin50% human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin24 human Chorionic Gonadotrpingiờ human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintiênđoán human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinbất human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ human Chorionic Gonadotrpinđược human Chorionic GonadotrpinCNTC

* Chọc dò cùng đồ: human Chorionic Gonadotrpinthủ human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinngày human Chorionic Gonadotrpincàng human Chorionic Gonadotrpinít human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpindo human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinquả human Chorionic Gonadotrpincủa human Chorionic Gonadotrpincác human Chorionic Gonadotrpinbiện human Chorionic Gonadotrpinpháp

cận human Chorionic Gonadotrpinlâm human Chorionic Gonadotrpinsàng human Chorionic GonadotrpinChọc human Chorionic Gonadotrpindò human Chorionic Gonadotrpincó human Chorionic Gonadotrpingiá human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđông human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpintỏ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinbiếnchứng human Chorionic GonadotrpinNhưng human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinchọc human Chorionic Gonadotrpindò human Chorionic Gonadotrpinâm human Chorionic Gonadotrpintính human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ human Chorionic Gonadotrpinđược human Chorionic GonadotrpinCNTC

1.5 Phân loại chửa ngoài tử cung:

1.5.1 Phân loại CNTC theo các thể lâm sàng:

1.5.1.1 Chửa ngoài tử cung chưa vỡ:

- Lâm human Chorionic Gonadotrpinsàng: human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinnổi human Chorionic Gonadotrpinbật human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinỉ human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpinhạ human Chorionic Gonadotrpinvị, human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpintrạngtốt human Chorionic Gonadotrpinmạch human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpináp human Chorionic Gonadotrpinổn human Chorionic Gonadotrpinđịnh

- Thăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo: human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin human Chorionic Gonadotrpinkín, human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinmềm, human Chorionic Gonadotrpindi human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđau human Chorionic GonadotrpinHaiphần human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinít human Chorionic Gonadotrpinsờ human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa.

- Siêu human Chorionic Gonadotrpinâm: human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinrỗng, human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinvang human Chorionic Gonadotrpinkhôngđồng human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpindịch human Chorionic Gonadotrpinthử human Chorionic GonadotrpinQuick human Chorionic GonadotrpinStick human Chorionic GonadotrpinhCG human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính

Theo human Chorionic GonadotrpinDương human Chorionic GonadotrpinThị human Chorionic GonadotrpinCương human Chorionic Gonadotrpin(1991) human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin

ở human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic Gonadotrpintrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin69%, human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpintheo human Chorionic GonadotrpinVương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa human Chorionic Gonadotrpin(2003) human Chorionic Gonadotrpin

là human Chorionic Gonadotrpin69% human Chorionic Gonadotrpin[2] human Chorionic Gonadotrpin,[11]

1.5.1.2 Chửa ngoài tử cung thể rỉ máu:

- Triệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinchính human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinra human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinít human Chorionic Gonadotrpinkèm human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinhạ human Chorionic Gonadotrpinvị human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinỉ

- Khám human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpintốt, human Chorionic Gonadotrpinmạch human Chorionic Gonadotrpinhơi human Chorionic Gonadotrpinnhanh, human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpináp human Chorionic Gonadotrpinổn human Chorionic Gonadotrpinđịnh

- Thăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpindạo human Chorionic Gonadotrpincó human Chorionic Gonadotrpinít human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđen, human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinto human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường, human Chorionic Gonadotrpinphần human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinbênkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinchạm human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinđau

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinrỗng, human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinvang human Chorionic Gonadotrpinkhôngđồng human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinít human Chorionic Gonadotrpindịch human Chorionic GonadotrpinThử human Chorionic GonadotrpinQuickStick human Chorionic GonadotrpinhCG human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính

Theo human Chorionic GonadotrpinDương human Chorionic GonadotrpinThị human Chorionic GonadotrpinCương human Chorionic Gonadotrpin(1991) human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinnày human Chorionic Gonadotrpincó human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin60 human Chorionic Gonadotrpin%, human Chorionic GonadotrpinTheo human Chorionic Gonadotrpin

Vương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa human Chorionic Gonadotrpin(2003) human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin31% human Chorionic Gonadotrpin[2],[11]

1.5.1.3 Chửa ngoài tử cung thể giả sảy:

- Triệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinhạ human Chorionic Gonadotrpinvị human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinỉ human Chorionic Gonadotrpintừng human Chorionic Gonadotrpincơn, human Chorionic Gonadotrpinkèm human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinrong human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinâmđạo human Chorionic Gonadotrpinít human Chorionic Gonadotrpinmột, human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmảnh human Chorionic Gonadotrpinmàng human Chorionic Gonadotrpinrụng human Chorionic Gonadotrpingiống human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinchức human Chorionic Gonadotrpinrau human Chorionic Gonadotrpinthai

- Khám human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinmệt human Chorionic Gonadotrpinmỏi, human Chorionic Gonadotrpinda human Chorionic Gonadotrpinhơi human Chorionic Gonadotrpinxanh, human Chorionic Gonadotrpinthiếu human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinnhẹ

- Thăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpincó human Chorionic Gonadotrpinít human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinđen, human Chorionic Gonadotrpincũng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinchức human Chorionic Gonadotrpinmàng human Chorionic Gonadotrpinrụng human Chorionic Gonadotrpinđangsảy human Chorionic Gonadotrpinthập human Chorionic Gonadotrpinthò human Chorionic Gonadotrpinở human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic GonadotrpinTử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinto human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường, human Chorionic Gonadotrpinphần human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinbên human Chorionic Gonadotrpinkhốichửa human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinkhám

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinvang human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđồng human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinxen human Chorionic Gonadotrpinkẽ human Chorionic Gonadotrpindịch human Chorionic Gonadotrpindorau human Chorionic Gonadotrpinbong human Chorionic Gonadotrpingây human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu, human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinít human Chorionic Gonadotrpindịch, human Chorionic Gonadotrpinthử human Chorionic GonadotrpinQuick human Chorionic Gonadotrpinstick human Chorionic Gonadotrpindương human Chorionic Gonadotrpintính human Chorionic Gonadotrpin[10],[20]

1.5.1.4 Chửa ngoài tử cung thể lụt máu ổ bụng:

- Toàn human Chorionic Gonadotrpin thân human Chorionic Gonadotrpin trong human Chorionic Gonadotrpin tình human Chorionic Gonadotrpin trạng human Chorionic Gonadotrpinchoáng, human Chorionic Gonadotrpin da human Chorionic Gonadotrpin xanh, human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpin mạc human Chorionic Gonadotrpinnhợt, human Chorionic Gonadotrpin mạchnhanh human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpináp human Chorionic Gonadotrpintụt, human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinhạ human Chorionic Gonadotrpinvị human Chorionic Gonadotrpindữ human Chorionic Gonadotrpindội

- Khám human Chorionic Gonadotrpincó human Chorionic Gonadotrpinphản human Chorionic Gonadotrpinứng human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinbụng, human Chorionic Gonadotrpingõ human Chorionic Gonadotrpinđục human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpinthấp, human Chorionic Gonadotrpinthăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpintử human Chorionic Gonadotrpincungbập human Chorionic Gonadotrpinbềnh human Chorionic Gonadotrpintrong human Chorionic Gonadotrpindịch, human Chorionic Gonadotrpintúi human Chorionic Gonadotrpincùng human Chorionic GonadotrpinDouglas human Chorionic Gonadotrpinđầy human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinchói

- Xét human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpinthấy human Chorionic Gonadotrpintình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinmất human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpin[10],[20]

Theo human Chorionic GonadotrpinDương human Chorionic GonadotrpinThị human Chorionic GonadotrpinCương human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin40%, human Chorionic Gonadotrpintheo human Chorionic GonadotrpinVương human Chorionic GonadotrpinTiến human Chorionic GonadotrpinHòa human Chorionic Gonadotrpin(2003) human Chorionic Gonadotrpin

tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin6-8%.[2], human Chorionic Gonadotrpin[11]

1.5.1.5 Chửa ngoài tử cung thể huyết tụ thành nang:

- Toàn human Chorionic Gonadotrpinthân human Chorionic Gonadotrpincó human Chorionic Gonadotrpintình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinthiếu human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinnhẹ

- Thăm human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinkhó human Chorionic Gonadotrpinxác human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinvì human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpindính human Chorionic Gonadotrpinbờ human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinrõ,

ấn human Chorionic Gonadotrpinđau human Chorionic Gonadotrpintức, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpindi human Chorionic Gonadotrpinđộng,

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinvang human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđồng human Chorionic Gonadotrpin human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpinranh human Chorionic Gonadotrpingiớikhông human Chorionic Gonadotrpinrõ, human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinthuộc human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpintụ human Chorionic Gonadotrpinto human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinnhỏ human Chorionic GonadotrpinhCG human Chorionic Gonadotrpinnước human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpindươngtính human Chorionic Gonadotrpin[10],[20]

1.5.2 Phân loại chửa ngoài tử cung theo vị trí khối chửa:

Hình 1 Các vị trí làm tổ của phôi

- human Chorionic GonadotrpinVị trí hay gặp nhất là ở vòi tử cung chiếm 95-98% human Chorionic GonadotrpinCó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpin human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpingiai

đoạn human Chorionic Gonadotrpinlâm human Chorionic Gonadotrpinsàng, human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintùy human Chorionic Gonadotrpintừng human Chorionic Gonadotrpingiai human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinđiềutrị human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpinnhau human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn, human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhoabằng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpin[1]

Trong human Chorionic Gonadotrpinđó: human Chorionic Gonadotrpin

+ human Chorionic Gonadotrpinở human Chorionic Gonadotrpinloa human Chorionic Gonadotrpinvòi:5%

+ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinở human Chorionic Gonadotrpinbóng human Chorionic Gonadotrpinvòi: human Chorionic Gonadotrpin78%

+ human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinở human Chorionic Gonadotrpinđoạn human Chorionic Gonadotrpineo human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung: human Chorionic Gonadotrpin12 human Chorionic Gonadotrpin– human Chorionic Gonadotrpin15%, human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpindo human Chorionic Gonadotrpinlòng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhẹp human Chorionic Gonadotrpintại human Chorionic Gonadotrpinvị human Chorionic Gonadotrpintrí human Chorionic Gonadotrpinnày

- Chửa ở buồng trứng: 0,7 – 1 %

- Chửa ở ống cổ tử cung human Chorionic Gonadotrpintheo human Chorionic GonadotrpinDees human Chorionic Gonadotrpin(1993) human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin1/18.000 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp

có human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinống human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinthụ human Chorionic Gonadotrpintinh human Chorionic Gonadotrpinốngnghiệm human Chorionic Gonadotrpin[25] human Chorionic GonadotrpinVề human Chorionic Gonadotrpinvi human Chorionic Gonadotrpinthể human Chorionic Gonadotrpincác human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpinăn human Chorionic Gonadotrpinsâu human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpincác human Chorionic Gonadotrpinmạch human Chorionic Gonadotrpinmáutăng human Chorionic Gonadotrpinsản, human Chorionic Gonadotrpinđan human Chorionic Gonadotrpinxen human Chorionic Gonadotrpingiữa human Chorionic Gonadotrpincác human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinhình human Chorionic Gonadotrpinảnh human Chorionic Gonadotrpinrau human Chorionic Gonadotrpincài human Chorionic Gonadotrpinrăng human Chorionic Gonadotrpinlược human Chorionic GonadotrpinĐiềunày human Chorionic Gonadotrpingiải human Chorionic Gonadotrpinthích human Chorionic Gonadotrpintại human Chorionic Gonadotrpinsao human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinống human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinmà human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinvẫn human Chorionic Gonadotrpinkhôngcầm, human Chorionic Gonadotrpinmặc human Chorionic Gonadotrpindù human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinchèn human Chorionic Gonadotrpingạc human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinbơm human Chorionic Gonadotrpinbóng human Chorionic Gonadotrpinép human Chorionic GonadotrpinXử human Chorionic Gonadotrpintrí human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinlà human Chorionic Gonadotrpincắt human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhoàntoàn human Chorionic Gonadotrpinhay human Chorionic Gonadotrpindùng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpinthân human Chorionic Gonadotrpinhay human Chorionic Gonadotrpintại human Chorionic Gonadotrpinchỗ human Chorionic Gonadotrpinđều human Chorionic Gonadotrpincho human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpintốt human Chorionic Gonadotrpinkể human Chorionic Gonadotrpincả human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthai

12 human Chorionic Gonadotrpintuần human Chorionic Gonadotrpintuổi

human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin - Chửa trong ổ bụng: hiếm human Chorionic Gonadotrpingặp human Chorionic GonadotrpinPhôi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđủ human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpinkiện

phát human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinchết human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinđi human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinbị human Chorionic Gonadotrpincanxi human Chorionic Gonadotrpinhóa human Chorionic GonadotrpinTại human Chorionic Gonadotrpinvị human Chorionic Gonadotrpintrí human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinthường human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinchảymáu human Chorionic Gonadotrpincấp human Chorionic Gonadotrpin[2],[10],[13], human Chorionic Gonadotrpin[24]

1.5.3 Phân loại chửa ngoài tử cung theo diễn biến của bệnh:

Theo human Chorionic Gonadotrpin“ human Chorionic GonadotrpinHội human Chorionic Gonadotrpinthảo human Chorionic Gonadotrpinquốc human Chorionic Gonadotrpintế human Chorionic Gonadotrpinchuyên human Chorionic Gonadotrpinđề human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinvô human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpindonguyên human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinống human Chorionic Gonadotrpinđẫn human Chorionic Gonadotrpintrứng”, human Chorionic Gonadotrpincác human Chorionic Gonadotrpintác human Chorionic Gonadotrpingiả human Chorionic Gonadotrpinnhư human Chorionic GonadotrpinLindlom, human Chorionic GonadotrpinRisquez, human Chorionic GonadotrpinManhes,Darai, human Chorionic GonadotrpinCammus, human Chorionic GonadotrpinPouly human Chorionic Gonadotrpinđề human Chorionic Gonadotrpinnghị human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinmức human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinhọc human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpinnhau human Chorionic Gonadotrpincủachửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpindựa human Chorionic Gonadotrpinvào human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinprogesteron human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinmẹ:

 Chửa ngoài tử cung có hoạt tính sinh học cao: human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpin human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinđáng

kể human Chorionic Gonadotrpin trong human Chorionic Gonadotrpin vòng human Chorionic Gonadotrpin 48h, human Chorionic Gonadotrpin hoặc human Chorionic Gonadotrpin nồng human Chorionic Gonadotrpin độ human Chorionic Gonadotrpin human Chorionic Gonadotrpin βhCGhCG human Chorionic Gonadotrpin >10.000mUI/ml human Chorionic Gonadotrpin vàprogesteron human Chorionic Gonadotrpin>10ng/ml, human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpintỏ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinđang human Chorionic Gonadotrpintiến human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinmạnh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincónguy human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinthất human Chorionic Gonadotrpinbại human Chorionic Gonadotrpincao human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinta human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic GonadotrpinNhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợpnày human Chorionic Gonadotrpinđòi human Chorionic Gonadotrpinhỏi human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintriệt human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpincắt human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpinlấy human Chorionic Gonadotrpinkhốichửa human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinbổ human Chorionic Gonadotrpinsung human Chorionic Gonadotrpinbằng human Chorionic GonadotrpinMTX

 Chửa ngoài tử cung không có hoạt năng sinh học: human Chorionic Gonadotrpin human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin human Chorionic Gonadotrpingiảm, human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ

progesteron< human Chorionic Gonadotrpin5ng/ml, human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpintỏ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpintiến human Chorionic Gonadotrpintriển human Chorionic GonadotrpinNhững human Chorionic Gonadotrpintrườnghợp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpintự human Chorionic Gonadotrpinthoái human Chorionic Gonadotrpintriển, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincần human Chorionic Gonadotrpincan human Chorionic Gonadotrpinthiệp

trường human Chorionic Gonadotrpinhợp human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpintính human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinhọc human Chorionic Gonadotrpincao human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợpkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpintính human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinhọc, human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinđều human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhoạt human Chorionic Gonadotrpintínhtrung human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic Gonadotrpinqua human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinổbụng human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpinbằng human Chorionic GonadotrpinMTX

1.6 Sự tiến triển của chửa ngoài tử cung:

 Khi human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinở human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinngoại human Chorionic Gonadotrpinsản human Chorionic Gonadotrpinmạc,không human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinhồ human Chorionic Gonadotrpinhuyết, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincấp human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđầy human Chorionic Gonadotrpinđủ, human Chorionic Gonadotrpindo human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincó human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinbiếnchứng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinxảy human Chorionic Gonadotrpinra:

_Vỡ human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng: human Chorionic Gonadotrpin human Chorionic Gonadotrpindo human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpinăn human Chorionic Gonadotrpinsâu human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinlớp human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinthủng human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpinhoặc

do human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpincăng human Chorionic Gonadotrpinto human Chorionic Gonadotrpinrồi human Chorionic Gonadotrpinvỡ, human Chorionic Gonadotrpinđồng human Chorionic Gonadotrpinthời human Chorionic Gonadotrpincác human Chorionic Gonadotrpinmạch human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpincũng human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpingây human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáutrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic GonadotrpinChảy human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinở human Chorionic Gonadotrpincác human Chorionic Gonadotrpinmức human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpinnhau:

+ human Chorionic GonadotrpinChảy human Chorionic Gonadotrpinồ human Chorionic Gonadotrpinạt human Chorionic Gonadotrpingây human Chorionic Gonadotrpinlụt human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng

+ human Chorionic GonadotrpinChảy human Chorionic Gonadotrpintừ human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinít human Chorionic Gonadotrpinmột, human Chorionic Gonadotrpinđọng human Chorionic Gonadotrpinở human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinkhu human Chorionic Gonadotrpintrú human Chorionic Gonadotrpinlại human Chorionic Gonadotrpintạo human Chorionic Gonadotrpinratúi human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinkhu human Chorionic Gonadotrpintrú

human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin_ human Chorionic GonadotrpinSảy human Chorionic Gonadotrpinthai: human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinlạc human Chorionic Gonadotrpinchỗ human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinrau human Chorionic Gonadotrpindễ human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinbong human Chorionic Gonadotrpingây human Chorionic Gonadotrpinsảy, human Chorionic Gonadotrpinchảymáu human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpin human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhiên human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinnằmtrong human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

+ human Chorionic GonadotrpinNếu human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinkhu human Chorionic Gonadotrpintrú human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinthì human Chorionic Gonadotrpingọi human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinứ human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintrứng human Chorionic GonadotrpinBọcthai human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinnhỏ human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinchết human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinđi.

+ human Chorionic GonadotrpinNếu human Chorionic Gonadotrpinbọc human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinbong human Chorionic Gonadotrpindần, human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinít human Chorionic Gonadotrpinmột, human Chorionic Gonadotrpinđọng human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinở human Chorionic Gonadotrpintúi human Chorionic Gonadotrpincùng human Chorionic GonadotrpinDouglashoặc human Chorionic Gonadotrpinở human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđược human Chorionic Gonadotrpincác human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinlân human Chorionic Gonadotrpincận human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinruột, human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpintreo, human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinnốiđến human Chorionic Gonadotrpinkhu human Chorionic Gonadotrpintrú human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpintụ, human Chorionic Gonadotrpingọi human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpintụ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinnang

+ human Chorionic GonadotrpinNếu human Chorionic Gonadotrpinbọc human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinsảy human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinồ human Chorionic Gonadotrpinạt human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpingây human Chorionic Gonadotrpin human Chorionic Gonadotrpinngập human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng

 Trong human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpintrứng human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintrứng, human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinhaysảy human Chorionic Gonadotrpingây human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu; human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinít human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintự human Chorionic Gonadotrpinchết human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinđi

 Chửa human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinhiếm human Chorionic Gonadotrpingặp, human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinphôi human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinđủ human Chorionic Gonadotrpinđiềukiện human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpintổ human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển, human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinchết human Chorionic Gonadotrpinsớm, human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinđi human Chorionic Gonadotrpinhay human Chorionic Gonadotrpincanxi human Chorionic Gonadotrpinhóa human Chorionic GonadotrpinTrongmột human Chorionic Gonadotrpinsố human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp, human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển human Chorionic Gonadotrpincắm human Chorionic Gonadotrpinsâu human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinruột, human Chorionic Gonadotrpinbàng human Chorionic Gonadotrpinquang, human Chorionic Gonadotrpintửcung, human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpinnối human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinnhư human Chorionic Gonadotrpinvậy human Chorionic Gonadotrpinsẽ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinđủ human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinnuôi human Chorionic Gonadotrpindưỡng human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinphát human Chorionic Gonadotrpintriển,thậm human Chorionic Gonadotrpinchí human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinsống human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinđủ human Chorionic Gonadotrpintháng human Chorionic Gonadotrpin human Chorionic GonadotrpinVì human Chorionic Gonadotrpingai human Chorionic Gonadotrpinrau human Chorionic Gonadotrpincắm human Chorionic Gonadotrpinsâu human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincác human Chorionic Gonadotrpintạng human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổbụng human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinthường human Chorionic Gonadotrpingây human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinnghiêm human Chorionic Gonadotrpintrọng human Chorionic Gonadotrpin[2], human Chorionic Gonadotrpin[10], human Chorionic Gonadotrpin[24], human Chorionic Gonadotrpin[25]

1.7 Điều trị chửa ngoài tử cung:

Mục đích điều trị:

- Giải human Chorionic Gonadotrpinquyết human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa

- Hạn human Chorionic Gonadotrpinchế human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpintái human Chorionic Gonadotrpinphát human Chorionic GonadotrpinCNTC

- Duy human Chorionic Gonadotrpintrì human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinsản human Chorionic Gonadotrpincho human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinnhu human Chorionic Gonadotrpincầu human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpincon

Các phương pháp bao gồm:

- human Chorionic GonadotrpinTheo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinthoái human Chorionic Gonadotrpintriển

- human Chorionic GonadotrpinĐiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinngoại human Chorionic Gonadotrpinkhoa:

 phẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinbụng, human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi

 Điều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn, human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpintriệt human Chorionic Gonadotrpincăn

- human Chorionic GonadotrpinĐiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhoa

1.7.1 Phương pháp phẫu thuật mở bụng :

Cắt human Chorionic Gonadotrpinbỏ human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintận human Chorionic Gonadotrpingốc human Chorionic Gonadotrpinla human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpintruyền human Chorionic Gonadotrpinthống human Chorionic Gonadotrpintrong human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinnhất

là human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpingây human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinổ human Chorionic Gonadotrpinbụng

 Phương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung:

-Chỉ định: CNTC human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinvỡ

human Chorionic GonadotrpinToàn human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinổn human Chorionic Gonadotrpinđịnh

human Chorionic GonadotrpinBệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincòn human Chorionic Gonadotrpintrẻ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnguyện human Chorionic Gonadotrpinvọng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinđẻ human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintương human Chorionic Gonadotrpinlai

human Chorionic GonadotrpinKhối human Chorionic Gonadotrpinchửa human Chorionic GonadotrpinKT human Chorionic Gonadotrpin< human Chorionic Gonadotrpin4cm

human Chorionic GonadotrpinβhCGhCG<20.000 human Chorionic GonadotrpinmUI/ml human Chorionic Gonadotrpin

 Phương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpintriệt human Chorionic Gonadotrpincăn:

Chỉ định

- Bệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnguyện human Chorionic Gonadotrpinvọng human Chorionic Gonadotrpin human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinđẻ human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintương human Chorionic Gonadotrpinlai

- Chửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintái human Chorionic Gonadotrpinphát, human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinở human Chorionic Gonadotrpinkẽ, human Chorionic Gonadotrpineo human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

- Khối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinvỡ, human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpináp human Chorionic Gonadotrpindao human Chorionic Gonadotrpinđộng

- βhCGhCG>20.000mUI/ml, human Chorionic Gonadotrpinđường human Chorionic Gonadotrpinkính human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpin>4cm human Chorionic Gonadotrpin[10]

1.7.2 Phương pháp phẫu thuật nội soi (Laparoscopy):

Ngày human Chorionic Gonadotrpinnay, human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinưa human Chorionic Gonadotrpinchuộngtrong human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpindo human Chorionic Gonadotrpinvết human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinnhỏ, human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinphục human Chorionic Gonadotrpinhồi human Chorionic Gonadotrpinnhanh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinbảo human Chorionic Gonadotrpintồn human Chorionic GonadotrpinVTCcao human Chorionic GonadotrpinỞ human Chorionic GonadotrpinViệt human Chorionic GonadotrpinNam human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinbằng human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinđược human Chorionic Gonadotrpináp human Chorionic Gonadotrpindung human Chorionic GonadotrpintạiBệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinTừ human Chorionic GonadotrpinDũ human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin1993 human Chorionic GonadotrpinBVPSTW human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpintừ human Chorionic Gonadotrpinnăm

1998 human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđã human Chorionic Gonadotrpintrở human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchính human Chorionic Gonadotrpincho human Chorionic GonadotrpinCNTC human Chorionic GonadotrpinBên human Chorionic Gonadotrpincạnh human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị, human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpincòn human Chorionic Gonadotrpincó human Chorionic Gonadotrpinvai human Chorionic Gonadotrpintrò human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinxác human Chorionic Gonadotrpinđinh human Chorionic Gonadotrpin human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinkhó,không human Chorionic Gonadotrpinrõ human Chorionic Gonadotrpinràng human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpintiến human Chorionic Gonadotrpinhành human Chorionic Gonadotrpincắt human Chorionic Gonadotrpinvòi human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinbảo human Chorionic GonadotrpintồnVTC human Chorionic Gonadotrpin[10]

So human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinmở human Chorionic Gonadotrpinbụng, human Chorionic GonadotrpinPTNS human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinưu human Chorionic Gonadotrpinđiểm human Chorionic Gonadotrpinnhư:

- human Chorionic GonadotrpinThời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinnằm human Chorionic Gonadotrpinviện human Chorionic Gonadotrpinngắn, human Chorionic Gonadotrpintrung human Chorionic Gonadotrpinbình human Chorionic Gonadotrpin2-3 human Chorionic Gonadotrpinngày, human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpinhồi human Chorionic Gonadotrpinphục human Chorionic Gonadotrpinnhanh

- human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpindính human Chorionic Gonadotrpintắc human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinthấp, human Chorionic Gonadotrpinít human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinhơn.

- human Chorionic GonadotrpinSẹo human Chorionic Gonadotrpinnhỏ, human Chorionic Gonadotrpintính human Chorionic Gonadotrpinthẩm human Chorionic Gonadotrpinmỹ human Chorionic Gonadotrpincao

- human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinchung human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpinkhoảng human Chorionic Gonadotrpin0,6%

* Chỉ định:

- Bệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinkhỏe human Chorionic Gonadotrpinmạnh, human Chorionic Gonadotrpintrọng human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinquá human Chorionic Gonadotrpin70kg.

_ human Chorionic GonadotrpinKhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinổn human Chorionic Gonadotrpinđịnh, human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpináp human Chorionic Gonadotrpintối

đa human Chorionic Gonadotrpinphải human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin100mmHg

* Chống chỉ đinh bảo tồn:

- human Chorionic GonadotrpinChống human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinchung human Chorionic Gonadotrpincủa human Chorionic Gonadotrpingây human Chorionic Gonadotrpinmê human Chorionic Gonadotrpinhồi human Chorionic Gonadotrpinsức, human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpincó human Chorionic Gonadotrpinsốc

- human Chorionic GonadotrpinKích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpin>6cm, human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin>20.000mUI/ml

* Chống chỉ định tương đối:

- human Chorionic GonadotrpinCó human Chorionic Gonadotrpindấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinchảy human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpincấp, human Chorionic Gonadotrpinbéo human Chorionic Gonadotrpinbệu, human Chorionic Gonadotrpindính human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinở human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung

- human Chorionic GonadotrpinKích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpin>4cm

1.7.3 Phương pháp điều trị nội khoa:

1.7.3.1 Các cách sử dụng MTX điều trị chửa ngoài tử cung chưa vỡ:

Hiện human Chorionic Gonadotrpinnay human Chorionic Gonadotrpincó human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinsử human Chorionic Gonadotrpindụng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpincho human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung: human Chorionic Gonadotrpin

* Sử dụng MTX liều 50mg/m² da, tiêm bắp:

Năm human Chorionic Gonadotrpin1982 human Chorionic GonadotrpinTanaka human Chorionic Gonadotrpinthông human Chorionic Gonadotrpinbáo human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinmột human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincungchưa human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinbằng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinliều human Chorionic Gonadotrpin50mg/m² human Chorionic Gonadotrpinda human Chorionic Gonadotrpin[36]

Sau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinđưa human Chorionic Gonadotrpinvào human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinnơi.Năm human Chorionic Gonadotrpin1992, human Chorionic GonadotrpinStovall human Chorionic Gonadotrpinvà human Chorionic GonadotrpinLing human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinbắp human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinliều human Chorionic Gonadotrpin50mg/m² human Chorionic Gonadotrpinda human Chorionic Gonadotrpincho human Chorionic Gonadotrpin120trường human Chorionic Gonadotrpinhợp human Chorionic GonadotrpinKết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpin113 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpin(94,2%), human Chorionic Gonadotrpin4 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinphảitiêm human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinhai, human Chorionic Gonadotrpin7 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpin(5,8%) human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpintrườnghợp human Chorionic Gonadotrpinnào human Chorionic Gonadotrpinngộ human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpinthuốc human Chorionic GonadotrpinSau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincó human Chorionic Gonadotrpin41 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrở human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinvới human Chorionic Gonadotrpin87,2% human Chorionic Gonadotrpincóthai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin12,8% human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpin[34]

Năm human Chorionic Gonadotrpin2000, human Chorionic GonadotrpinTạ human Chorionic GonadotrpinThanh human Chorionic GonadotrpinThủy human Chorionic Gonadotrpinđã human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinkhai human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinviện human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpin human Chorionic GonadotrpinsảnHùng human Chorionic Gonadotrpin Vương human Chorionic Gonadotrpin Nồng human Chorionic Gonadotrpin độ human Chorionic Gonadotrpin βhCGhCG human Chorionic Gonadotrpin đưa human Chorionic Gonadotrpin vào human Chorionic Gonadotrpin điều human Chorionic Gonadotrpin trị human Chorionic Gonadotrpin là human Chorionic Gonadotrpin ≥40mUI/ml human Chorionic Gonadotrpin đến human Chorionic Gonadotrpin ≤2.000mUI/ml, human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinliều human Chorionic Gonadotrpin50mg/m² human Chorionic Gonadotrpinda human Chorionic Gonadotrpincho human Chorionic Gonadotrpintất human Chorionic Gonadotrpincả human Chorionic Gonadotrpincác human Chorionic Gonadotrpinđối human Chorionic Gonadotrpintượng, human Chorionic Gonadotrpintối human Chorionic Gonadotrpinđa human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinquá

3 human Chorionic Gonadotrpinliều human Chorionic GonadotrpinĐánh human Chorionic Gonadotrpingiá human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpindựa human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinlượng human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinngày human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpin5 human Chorionic Gonadotrpintrong human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinđầutiên, human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinthứ human Chorionic Gonadotrpinhai human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpinnếu human Chorionic Gonadotrpintheo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinmột human Chorionic Gonadotrpintuần human Chorionic Gonadotrpinmức human Chorionic Gonadotrpin human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinkhônggiảm human Chorionic Gonadotrpinhơn human Chorionic Gonadotrpin15% human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinlên human Chorionic GonadotrpinKết human Chorionic Gonadotrpinquả, human Chorionic Gonadotrpin110 human Chorionic Gonadotrpintường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpintham human Chorionic Gonadotrpingia human Chorionic Gonadotrpincó human Chorionic Gonadotrpin61 human Chorionic Gonadotrpintrườnghợp human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinmũi, human Chorionic Gonadotrpin40 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinhai human Chorionic Gonadotrpinmũi human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin9 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinba human Chorionic Gonadotrpinmũi

Tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinđạt human Chorionic Gonadotrpin90,9 human Chorionic Gonadotrpin% human Chorionic GonadotrpinTỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinlại human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin47,8% human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin12 human Chorionic Gonadotrpintháng, human Chorionic Gonadotrpinchửangoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpintái human Chorionic Gonadotrpinphát human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin9,9% human Chorionic GonadotrpinKhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinngộ human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpin[18]

Trong human Chorionic Gonadotrpinbáo human Chorionic Gonadotrpincáo human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinNguyễn human Chorionic GonadotrpinVăn human Chorionic GonadotrpinHọc human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2005 human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin103trường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnguyện human Chorionic Gonadotrpintham human Chorionic Gonadotrpingia human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị, human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinđạt human Chorionic Gonadotrpin83,5% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinthất human Chorionic Gonadotrpinbại16,5% human Chorionic GonadotrpinTrong human Chorionic Gonadotrpin50 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpintiên human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpincho human Chorionic Gonadotrpin10 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpin,trong human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhai human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpintrong human Chorionic Gonadotrpin24h human Chorionic Gonadotrpinsau human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinthuốc,hai human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinxin human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinnhưng human Chorionic Gonadotrpinvẫn human Chorionic Gonadotrpincao human Chorionic Gonadotrpintrên1000mUI/ml, human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincả human Chorionic Gonadotrpinhai human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinđều human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhỗi human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpintại human Chorionic Gonadotrpinnhà human Chorionic GonadotrpinTrong

số human Chorionic Gonadotrpin57 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpincó human Chorionic Gonadotrpin7 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpintrườnghợp human Chorionic Gonadotrpinnào human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpincho human Chorionic Gonadotrpinvề human Chorionic Gonadotrpintheo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinngoại human Chorionic Gonadotrpintrú human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợpnào human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinsớm human Chorionic Gonadotrpintrong human Chorionic Gonadotrpin24h human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinsau human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinthuốc[12]

Một human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincủa human Chorionic GonadotrpinVũ human Chorionic GonadotrpinThanh human Chorionic GonadotrpinVân human Chorionic Gonadotrpintại human Chorionic GonadotrpinBVPSTW human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2006 human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin105 human Chorionic Gonadotrpinbệnhnhân, human Chorionic Gonadotrpincho human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin91,4%, human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinđịnh human Chorionic Gonadotrpintối human Chorionic Gonadotrpinđa human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinliều human Chorionic GonadotrpinMTX human Chorionic Gonadotrpin[21]

Ưu human Chorionic Gonadotrpinđiểm human Chorionic Gonadotrpin: human Chorionic Gonadotrpin human Chorionic Gonadotrpin

- Kỹ human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpingiản human Chorionic Gonadotrpindễ human Chorionic Gonadotrpinthực human Chorionic Gonadotrpinhiện

- Giá human Chorionic Gonadotrpinthành human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinthấp, human Chorionic Gonadotrpinít human Chorionic Gonadotrpinphải human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinđõi, human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpindễ human Chorionic Gonadotrpinchấp human Chorionic Gonadotrpinnhận

- Tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpincao

Nhược human Chorionic Gonadotrpinđiểm: human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpincao human Chorionic Gonadotrpinmà human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinduy human Chorionic Gonadotrpinnhất, human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinlýthuyết human Chorionic Gonadotrpinvẫn human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpingây human Chorionic Gonadotrpinđộc

* Sử dụng MTX xen kẽ thuốc giải độc:

Năm human Chorionic Gonadotrpin1987 human Chorionic GonadotrpinSauer human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinbằng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinphác human Chorionic Gonadotrpinđồ: MTX human Chorionic Gonadotrpin1mg/kg

tiêm human Chorionic Gonadotrpinbắp human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincác human Chorionic Gonadotrpinngày human Chorionic Gonadotrpin1,3,5,7 human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinvới human Chorionic Gonadotrpin0,1mg/kg human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincác human Chorionic Gonadotrpinngày human Chorionic Gonadotrpin2,4,6

Ưu điểm: human Chorionic GonadotrpinHạn human Chorionic Gonadotrpinchế human Chorionic Gonadotrpintác human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinngộ human Chorionic Gonadotrpinđộc human Chorionic Gonadotrpindo human Chorionic Gonadotrpinthuốc.

Nhược điểm: human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinnên human Chorionic Gonadotrpingiá human Chorionic Gonadotrpinthành human Chorionic Gonadotrpintăng human Chorionic Gonadotrpinlên, human Chorionic Gonadotrpinviệc human Chorionic Gonadotrpintheo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinphức

tạp, human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinnhiêù human Chorionic Gonadotrpinxét human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpindễ human Chorionic Gonadotrpinchấp human Chorionic Gonadotrpinnhận, human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpinápdụng human Chorionic Gonadotrpinrộng human Chorionic Gonadotrpinrãi human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinbị human Chorionic Gonadotrpinhạn human Chorionic Gonadotrpinchế human Chorionic GonadotrpinTrong human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrịkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinkhác human Chorionic Gonadotrpinbiệt human Chorionic Gonadotrpinso human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinđơn human Chorionic Gonadotrpinliều human Chorionic GonadotrpinNăm human Chorionic Gonadotrpin2003, human Chorionic GonadotrpinLibscomb, human Chorionic GonadotrpinStovall,Ling human Chorionic Gonadotrpinso human Chorionic Gonadotrpinsánh human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpin11 human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinliều human Chorionic Gonadotrpincho human Chorionic Gonadotrpinkết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpin965 human Chorionic Gonadotrpinthnhf human Chorionic Gonadotrpincoong human Chorionic Gonadotrpinởnhóm human Chorionic Gonadotrpinnhiều human Chorionic Gonadotrpinliều human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin91,5% human Chorionic Gonadotrpinở human Chorionic Gonadotrpinnhón human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpin1 human Chorionic Gonadotrpinlều human Chorionic Gonadotrpinduy human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpin[34],[35]

* Sử dụng MTX liều thấp tiêm tại chỗ:

Sử human Chorionic Gonadotrpindụng human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinliều human Chorionic Gonadotrpin10mg human Chorionic Gonadotrpin– human Chorionic Gonadotrpin25mg human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpintrực human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpintại human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpindướihướng human Chorionic Gonadotrpindẫn human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinsiêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi

Ưu điểm: human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinthuốc human Chorionic Gonadotrpinđưa human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinít, human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinlý human Chorionic Gonadotrpinthuyết human Chorionic Gonadotrpinla human Chorionic Gonadotrpintuyệt human Chorionic Gonadotrpinđối human Chorionic Gonadotrpinan human Chorionic Gonadotrpintoàn Nhược điểm: human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinkhó human Chorionic Gonadotrpinthực human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinphải human Chorionic Gonadotrpincó human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinphối human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinbác human Chorionic Gonadotrpinsĩ human Chorionic Gonadotrpinsiêu human Chorionic Gonadotrpinâm

và human Chorionic Gonadotrpinbác human Chorionic Gonadotrpinsỹ human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinKỹ human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinkhó human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinphức human Chorionic Gonadotrpintạp human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinphải human Chorionic Gonadotrpinlúc human Chorionic Gonadotrpinnào, human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinsở human Chorionic Gonadotrpinnàocũng human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpinthực human Chorionic Gonadotrpinhiện, human Chorionic Gonadotrpindo human Chorionic Gonadotrpindó human Chorionic Gonadotrpinkhả human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpináp human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinrộng human Chorionic Gonadotrpinrãi human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinhạn human Chorionic Gonadotrpinchế human Chorionic GonadotrpinNgoài human Chorionic Gonadotrpinrabệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinphải human Chorionic Gonadotrpingây human Chorionic Gonadotrpinmê human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinmê human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinlàm human Chorionic Gonadotrpinthủ human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinđường human Chorionic Gonadotrpindưới, human Chorionic Gonadotrpingây human Chorionic Gonadotrpinđau human Chorionic Gonadotrpinđớncho human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincó human Chorionic Gonadotrpinthể human Chorionic Gonadotrpingây human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpintức human Chorionic Gonadotrpinthì human Chorionic GonadotrpinKết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinthấphơn human Chorionic Gonadotrpinhai human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpincòn human Chorionic Gonadotrpinlại human Chorionic Gonadotrpin

1.7.3.2 Phác đồ điều trị nội khoa CNTC tại BVPSTW:

* Tiêu chuẩn chọn bệnh nhân:

- CNTC human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinvỡ

- Nồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinban human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpin≤ human Chorionic Gonadotrpin5000 human Chorionic GonadotrpinIU/L

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpindò human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo: human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpin≤ human Chorionic Gonadotrpin3 human Chorionic Gonadotrpincm, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhoạtđộng human Chorionic Gonadotrpintim human Chorionic Gonadotrpinthai, human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpincó human Chorionic Gonadotrpintúi human Chorionic Gonadotrpinnoãn human Chorionic Gonadotrpinhoàng, human Chorionic Gonadotrpindịch human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpin≤ human Chorionic Gonadotrpin15mm

- Huyết human Chorionic Gonadotrpinđộng human Chorionic Gonadotrpinổn human Chorionic Gonadotrpinđịnh

- Công human Chorionic Gonadotrpinthức human Chorionic Gonadotrpinmáu, human Chorionic Gonadotrpinchức human Chorionic Gonadotrpinnăng human Chorionic Gonadotrpingan human Chorionic Gonadotrpinthận human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường

*Theo dõi điều trị:

- Tiêm human Chorionic Gonadotrpinbắp human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinliều human Chorionic Gonadotrpin1mg/kg human Chorionic Gonadotrpincân human Chorionic Gonadotrpinnặng

- Theo human Chorionic Gonadotrpindõi human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinsiêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpindò human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo human Chorionic Gonadotrpinhàng human Chorionic Gonadotrpintuần human Chorionic Gonadotrpincho human Chorionic Gonadotrpintớikhi human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpinđến human Chorionic Gonadotrpin15UI/L

- Tiêm human Chorionic Gonadotrpinmũi human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinki human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpingiảm human Chorionic Gonadotrpin< human Chorionic Gonadotrpin30% human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinmỗi human Chorionic Gonadotrpintuần human Chorionic Gonadotrpintiêmtối human Chorionic Gonadotrpinđa human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinmũi human Chorionic GonadotrpinMTX human Chorionic GonadotrpinXét human Chorionic Gonadotrpinnghiệm human Chorionic Gonadotrpinlại human Chorionic Gonadotrpincông human Chorionic Gonadotrpinthức human Chorionic Gonadotrpintrước human Chorionic Gonadotrpinmỗi human Chorionic Gonadotrpinlần human Chorionic Gonadotrpintiêm

*Chỉ định phẫu thuật nội soi khi:

- Có human Chorionic Gonadotrpindấu human Chorionic Gonadotrpinhiệu human Chorionic Gonadotrpinvỡ human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpindịch human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ human Chorionic Gonadotrpin>15mm

- Xuất human Chorionic Gonadotrpinhiện human Chorionic Gonadotrpintim human Chorionic Gonadotrpinthai

- Nồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinsau human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpintiêm human Chorionic Gonadotrpin human Chorionic GonadotrpinMTX human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpingiảm

1.7.4 Phương pháp điều trị chỉ cần theo dõi:

Phương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinnày human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpincó human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinít human Chorionic Gonadotrpintác human Chorionic Gonadotrpingiả human Chorionic Gonadotrpinđề human Chorionic Gonadotrpincạp human Chorionic Gonadotrpinvới human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinlượng human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhâncũng human Chorionic Gonadotrpinrất human Chorionic Gonadotrpinít

Theo human Chorionic GonadotrpinFernandez human Chorionic Gonadotrpinvà human Chorionic Gonadotrpincộng human Chorionic Gonadotrpinsự human Chorionic Gonadotrpin(1998), human Chorionic Gonadotrpinquan human Chorionic Gonadotrpinsát human Chorionic Gonadotrpincó human Chorionic Gonadotrpinsự human Chorionic Gonadotrpinthoái human Chorionic Gonadotrpintriển human Chorionic Gonadotrpintự human Chorionic Gonadotrpinnhiêntrong human Chorionic Gonadotrpin64% human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinngoài human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung human Chorionic Gonadotrpincó human Chorionic Gonadotrpinnòng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpin human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpin< human Chorionic Gonadotrpin10mIU/ml human Chorionic GonadotrpinThời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinthoái human Chorionic Gonadotrpintriển human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin20+/- human Chorionic Gonadotrpin13 human Chorionic Gonadotrpinngày human Chorionic Gonadotrpin[26]

Chương 2 ĐỐI TƯỢNG VÀ PHƯƠNG PHÁP NGHIÊN CỨU

2.1 Đối tượng nghiên cứu

Bao human Chorionic Gonadotrpingồm human Chorionic Gonadotrpintất human Chorionic Gonadotrpincả human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinvỡ, human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinMTX human Chorionic Gonadotrpintại human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinviện human Chorionic GonadotrpinPhụ human Chorionic GonadotrpinSản human Chorionic GonadotrpinTrung human Chorionic Gonadotrpinương human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin01/01/2010 human Chorionic Gonadotrpinđến human Chorionic Gonadotrpin31/06/2010

Tiêu human Chorionic Gonadotrpinchuẩn human Chorionic Gonadotrpinloại human Chorionic Gonadotrpintrừ:

- Những human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinchửa human Chorionic Gonadotrpinống human Chorionic Gonadotrpincổ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

- Chửa human Chorionic Gonadotrpinvết human Chorionic Gonadotrpinmổ

- Siêu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpincó human Chorionic Gonadotrpintim human Chorionic Gonadotrpinthai

- Thai human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

- Những human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpinthất human Chorionic Gonadotrpinbại

- Sót human Chorionic Gonadotrpinrau human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinbuồng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung

2.2 Phương pháp nghiên cứu:

2.2.1 Sử dụng phương pháp hồi cứu mô tả cắt ngang:

Sử human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinphương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinhồi human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinmô human Chorionic Gonadotrpintả human Chorionic Gonadotrpincắt human Chorionic Gonadotrpinngang human Chorionic Gonadotrpindựa human Chorionic Gonadotrpinvào human Chorionic Gonadotrpincác human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinán human Chorionic Gonadotrpincủabệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinviện human Chorionic Gonadotrpinthỏa human Chorionic Gonadotrpinmãn human Chorionic Gonadotrpincác human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinchuẩn human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin

2.2.2 Cỡ mẫu:

Đây human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinmô human Chorionic Gonadotrpintả human Chorionic Gonadotrpincắt human Chorionic Gonadotrpinngang human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinxác human Chorionic Gonadotrpinsuất, human Chorionic Gonadotrpinvì human Chorionic Gonadotrpinthế human Chorionic Gonadotrpinchúng human Chorionic Gonadotrpintôi human Chorionic Gonadotrpinthuthập human Chorionic Gonadotrpintoàn human Chorionic Gonadotrpinbộ human Chorionic Gonadotrpinhồ human Chorionic Gonadotrpinsơ human Chorionic Gonadotrpincủa human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinlúc human Chorionic Gonadotrpinra human Chorionic Gonadotrpinviện human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinchẩn human Chorionic Gonadotrpinđoán human Chorionic Gonadotrpinlà human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinđượcđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinMTX, human Chorionic Gonadotrpincó human Chorionic Gonadotrpinđầy human Chorionic Gonadotrpinđủ human Chorionic Gonadotrpincác human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinchuẩn human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinđề human Chorionic Gonadotrpinra

2.3.Các biến số nghiên cứu:

* human Chorionic GonadotrpinCác human Chorionic Gonadotrpinbiến human Chorionic Gonadotrpinsố human Chorionic Gonadotrpincho human Chorionic Gonadotrpinmục human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpin1:

- Tuổi:

 Tuổi human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinnữ human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinlấy human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpindương human Chorionic Gonadotrpinlịch.

 Chia human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinđể human Chorionic Gonadotrpinxem human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinnào human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnhóm human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpincó human Chorionic Gonadotrpintỷ

lệ human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhao human Chorionic Gonadotrpincao human Chorionic Gonadotrpinhơn

- Tiền human Chorionic Gonadotrpinsử:

 Tình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpinđẻ

 Tiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinphụ human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpinvà human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinvùng human Chorionic Gonadotrpintiểu human Chorionic Gonadotrpinkhung

- Triệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpincơ human Chorionic Gonadotrpinnăng:

 Đau human Chorionic Gonadotrpinbụng: human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinkhông?

 Chậm human Chorionic Gonadotrpinkinh: human Chorionic Gonadotrpincó human Chorionic Gonadotrpinhay human Chorionic Gonadotrpinkhông? human Chorionic GonadotrpinThời human Chorionic Gonadotrpingian human Chorionic Gonadotrpinchậm human Chorionic Gonadotrpinkinh human Chorionic Gonadotrpintrước human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinđếnviện

 Ra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinâm human Chorionic Gonadotrpinđạo: human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinsớm, human Chorionic Gonadotrpinmuộn, human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđúng human Chorionic Gonadotrpinkì

- Triệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpinthực human Chorionic Gonadotrpinthể:

 Tình human Chorionic Gonadotrpintrạng human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung: human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường, human Chorionic Gonadotrpinto

 Phần human Chorionic Gonadotrpinphụ: human Chorionic Gonadotrpinbình human Chorionic Gonadotrpinthường human Chorionic Gonadotrpinhay human Chorionic Gonadotrpincó human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinnề human Chorionic Gonadotrpinđau

 Khám human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ

- Triệu human Chorionic Gonadotrpinchứng human Chorionic Gonadotrpincận human Chorionic Gonadotrpinlâm human Chorionic Gonadotrpinsàng:

 Nồng human Chorionic Gonadotrpinđộ human Chorionic Gonadotrpin human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinhuyết human Chorionic Gonadotrpinthanh human Chorionic Gonadotrpintrước human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị

 Siêu human Chorionic Gonadotrpinâm: human Chorionic Gonadotrpinkích human Chorionic Gonadotrpinthước human Chorionic Gonadotrpinkhối human Chorionic Gonadotrpinchửa, human Chorionic Gonadotrpinniêm human Chorionic Gonadotrpinmạc human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung, human Chorionic Gonadotrpindịch human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ

 Chọc human Chorionic Gonadotrpindò human Chorionic Gonadotrpindịch human Chorionic Gonadotrpincùng human Chorionic Gonadotrpinđồ

* Các biến số cho mục tiêu 2:

- human Chorionic GonadotrpinPhương human Chorionic Gonadotrpinpháp human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị:

 Số human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpin1 human Chorionic Gonadotrpinliều, human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinliều, human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinliều, human Chorionic Gonadotrpinđa human Chorionic Gonadotrpinliều

-Kết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị:

 Kết human Chorionic Gonadotrpinquả human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinchung: human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpinkhi human Chorionic Gonadotrpinlâm human Chorionic Gonadotrpinsàng human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpinhếtđau, human Chorionic Gonadotrpinnồng human Chorionic Gonadotrpinđộ human Chorionic GonadotrpinβhCGhCG human Chorionic Gonadotrpinsau human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinâm human Chorionic Gonadotrpintính human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpin< human Chorionic Gonadotrpin15 human Chorionic GonadotrpinIU/L

 Tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthành human Chorionic Gonadotrpincông human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinliều

2.5 Đạo đức trong nghiên cứu:

Đây human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpinmô human Chorionic Gonadotrpintả, human Chorionic Gonadotrpinchỉ human Chorionic Gonadotrpinsử human Chorionic Gonadotrpindụng human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinliệu human Chorionic Gonadotrpintrên human Chorionic Gonadotrpinhồ human Chorionic Gonadotrpinsơ human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinán, human Chorionic Gonadotrpinkhôngcan human Chorionic Gonadotrpinthiệp human Chorionic Gonadotrpintrực human Chorionic Gonadotrpintiếp human Chorionic Gonadotrpinvào human Chorionic Gonadotrpinđối human Chorionic Gonadotrpintượng human Chorionic Gonadotrpinnên human Chorionic Gonadotrpinkhông human Chorionic Gonadotrpinảnh human Chorionic Gonadotrpinhưởng human Chorionic Gonadotrpinđến human Chorionic Gonadotrpinsức human Chorionic Gonadotrpinkhỏe human Chorionic Gonadotrpinbệnhnhân human Chorionic GonadotrpinTất human Chorionic Gonadotrpincả human Chorionic Gonadotrpinthông human Chorionic Gonadotrpintin human Chorionic Gonadotrpinvề human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinđều human Chorionic Gonadotrpinđược human Chorionic Gonadotrpinmã human Chorionic Gonadotrpinhóa human Chorionic Gonadotrpinvà human Chorionic Gonadotrpingiữ human Chorionic Gonadotrpinbí human Chorionic Gonadotrpinmật

Chương 3 KẾT QUẢ NGHIÊN CỨU

Trong human Chorionic Gonadotrpinquá human Chorionic Gonadotrpintrình human Chorionic Gonadotrpinthu human Chorionic Gonadotrpinthập human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinliệu human Chorionic Gonadotrpin6 human Chorionic Gonadotrpintháng human Chorionic Gonadotrpinđầu human Chorionic Gonadotrpinnăm human Chorionic Gonadotrpin2011 human Chorionic Gonadotrpintại human Chorionic GonadotrpinBVPSTWchúng human Chorionic Gonadotrpintôi human Chorionic Gonadotrpinthu human Chorionic Gonadotrpinđược human Chorionic Gonadotrpintổng human Chorionic Gonadotrpinsố human Chorionic Gonadotrpin362 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinán human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinđiều human Chorionic Gonadotrpintrị human Chorionic GonadotrpinMTX, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinđó human Chorionic Gonadotrpincó human Chorionic Gonadotrpin342đạt human Chorionic Gonadotrpintiêu human Chorionic Gonadotrpinchuẩn human Chorionic Gonadotrpinchọn human Chorionic Gonadotrpinlựa human Chorionic Gonadotrpinở human Chorionic Gonadotrpintrên

3.1 Đặc điểm chung của đối tượng nghiên cứu

3.1.1 Tỷ lệ điều trị CNTC 6 tháng đầu năm 2011

- Trong human Chorionic Gonadotrpinđó: human Chorionic Gonadotrpinphẫu human Chorionic Gonadotrpinthuật human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinsoi human Chorionic Gonadotrpin806/1187 human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpin67,9%

- Mổ human Chorionic Gonadotrpinmở human Chorionic Gonadotrpin19/1187 human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân, human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpin human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpin1,6%

- Điều human Chorionic Gonadotrpintrị human Chorionic Gonadotrpinnội human Chorionic Gonadotrpinkhoa human Chorionic Gonadotrpin362/ human Chorionic Gonadotrpin1187 human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpin30,5%

Biểu đồ 3.2 Liên quan giữa tuổi và CNTC

Những human Chorionic Gonadotrpinbệnh human Chorionic Gonadotrpinnhân human Chorionic Gonadotrpintừ human Chorionic Gonadotrpin20 human Chorionic Gonadotrpin– human Chorionic Gonadotrpin34 human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpincao human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpin human Chorionic Gonadotrpin95,32 human Chorionic Gonadotrpin% human Chorionic GonadotrpinDưới human Chorionic Gonadotrpin

20 human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin2,05% human Chorionic Gonadotrpinvà human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin40 human Chorionic Gonadotrpintuổi human Chorionic Gonadotrpinciếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinthấp human Chorionic Gonadotrpinvới human Chorionic Gonadotrpin2,63 human Chorionic Gonadotrpin% human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin human Chorionic Gonadotrpin

3.1.3 Tiền sử sản khoa

Bảng 3.1: Tiền sử sản khoa

Tiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinsản human Chorionic Gonadotrpinkhoa N %

Đã human Chorionic Gonadotrpinđẻ Đẻ human Chorionic Gonadotrpinthường 195 57,02

Mổ human Chorionic Gonadotrpinđẻ 58 16,96Chưa human Chorionic Gonadotrpinđẻ 89 26,02Tổng human Chorionic Gonadotrpinsố 342 100

Tỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpincon human Chorionic Gonadotrpin human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinsố human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin73,98 human Chorionic Gonadotrpin% human Chorionic Gonadotrpingấp human Chorionic Gonadotrpingần human Chorionic Gonadotrpin3lần human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinnhững human Chorionic Gonadotrpinngười human Chorionic Gonadotrpinchưa human Chorionic Gonadotrpinsinh human Chorionic Gonadotrpincon, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinđó human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinmổ human Chorionic Gonadotrpinđẻ human Chorionic Gonadotrpinlà human Chorionic Gonadotrpin22,92 human Chorionic Gonadotrpin% human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinđã human Chorionic Gonadotrpinsinh

3.1.4 Tiền sử phụ khoa và phẫu thuật tiểu khung:

Bảng 3.2 Tiền sử phụ khoa và phẫu thuật tiểu khung:

Tiền human Chorionic Gonadotrpinsử N %

Đặt human Chorionic GonadotrpinDCTC 5 1,46

Mổ human Chorionic GonadotrpinNSVS 4 1,17

Làm human Chorionic GonadotrpinUIU, human Chorionic GonadotrpinIVF 6 1,74

Mổ human Chorionic GonadotrpinCNTC 34 9,97

Mổ human Chorionic GonadotrpinUNBT 4 1,17

Mổ human Chorionic GonadotrpinVRT 5 1,46

Không human Chorionic Gonadotrpincó 284 83,03

Tổng human Chorionic Gonadotrpinsố 342 100

Nhận xét:

- 34 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic GonadotrpinCNTC human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin9,97 human Chorionic Gonadotrpin%

- 6 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinlàm human Chorionic GonadotrpinIUI, human Chorionic GonadotrpinIVF human Chorionic Gonadotrpinvà human Chorionic Gonadotrpin4 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpinmổ human Chorionic GonadotrpinNSVS human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin2,91 human Chorionic Gonadotrpin%

- Trong human Chorionic Gonadotrpinsố human Chorionic Gonadotrpinnghiên human Chorionic Gonadotrpincứu human Chorionic Gonadotrpincó human Chorionic Gonadotrpin5 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinđặt human Chorionic Gonadotrpindụng human Chorionic Gonadotrpincụ human Chorionic Gonadotrpintử human Chorionic Gonadotrpincung,chiếm human Chorionic Gonadotrpin1,46 human Chorionic Gonadotrpin% human Chorionic GonadotrpinMổ human Chorionic GonadotrpinVRT human Chorionic Gonadotrpincó human Chorionic Gonadotrpin5 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp, human Chorionic Gonadotrpinmổ human Chorionic GonadotrpinUNBT human Chorionic Gonadotrpincó human Chorionic Gonadotrpin4 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp, human Chorionic Gonadotrpintổngcông human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin2,63 human Chorionic Gonadotrpin%

Bảng 3.3 Tiền sử nạo hút thai

TS human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai N %

1 human Chorionic Gonadotrpinlần 77 22,52

2 human Chorionic Gonadotrpinlần 45 13,16

≥3 human Chorionic Gonadotrpinlần 39 11,4Không human Chorionic Gonadotrpincó 181 52,92

human Chorionic GonadotrpinCó human Chorionic Gonadotrpin161 human Chorionic Gonadotrpintrường human Chorionic Gonadotrpinhợp human Chorionic Gonadotrpincó human Chorionic Gonadotrpintiền human Chorionic Gonadotrpinsử human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin40,08%, human Chorionic Gonadotrpintrong human Chorionic Gonadotrpinđó human Chorionic Gonadotrpinđa

số human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpinmột human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinhoặc human Chorionic Gonadotrpin2 human Chorionic Gonadotrpinlần human Chorionic GonadotrpinSố human Chorionic Gonadotrpinnạo human Chorionic Gonadotrpinhút human Chorionic Gonadotrpinthai human Chorionic Gonadotrpintrên human Chorionic Gonadotrpin3 human Chorionic Gonadotrpinlần human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpintỷ human Chorionic Gonadotrpinlệ human Chorionic Gonadotrpinít7,31 human Chorionic Gonadotrpin%

3.2 Đặc điểm lâm sàng

3.2.1 Triệu chứng cơ năng và kết quả điều trị

Bảng 3.4 Triệu chứng cơ năng

Triệu human Chorionic Gonadotrpinchứng Có human Chorionic Gonadotrpin Không Tổng human Chorionic GonadotrpinsốĐau human Chorionic Gonadotrpinbụng human Chorionic Gonadotrpin %N 73,98253 26,0289 342100

Chậm human Chorionic Gonadotrpinkinh N 233 109 342

Bảng 3.5 Liên quan giữa chậm kinh và ra máu

Triệu human Chorionic Gonadotrpinchứng N %

Chậm human Chorionic Gonadotrpinkinh Ra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpin 206 60,23

Không human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu 27 7,90

Không human Chorionic Gonadotrpinchậm human Chorionic Gonadotrpinkinh

Ra human Chorionic Gonadotrpinsớm 17 4,97

Ra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđúng human Chorionic Gonadotrpinkì 85 24,85Không human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu 7 2,05Tổng human Chorionic Gonadotrpinsố 342 100

Nhận xét:

- Bộ human Chorionic Gonadotrpinđôi human Chorionic Gonadotrpintriệu human Chorionic Gonadotrpinchứng human Chorionic GonadotrpinChậm human Chorionic Gonadotrpinkinh human Chorionic Gonadotrpin_ human Chorionic GonadotrpinRa human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinhay human Chorionic Gonadotrpingặp human Chorionic Gonadotrpinnhất human Chorionic Gonadotrpinchiếm human Chorionic Gonadotrpin60,23%,tiếp human Chorionic Gonadotrpintheo human Chorionic Gonadotrpinlà human Chorionic Gonadotrpinra human Chorionic Gonadotrpinmáu human Chorionic Gonadotrpinđúng human Chorionic Gonadotrpinkì human Chorionic Gonadotrpinkéo human Chorionic Gonadotrpindài

Bảng 3.6 Đau bụng và kết quả điều trị:

Đau human Chorionic Gonadotrpinbụng Kết human Chorionic Gonadotrpinquả Tổng human Chorionic Gonadotrpinsố

Thành human Chorionic Gonadotrpincông Thất human Chorionic Gonadotrpinbại