Medical management of interstitial ectopic pregnancy: a case report and literature review

被引：28

作者：

Fisch, JD

Ortiz, BH

Tazuke, SI

Chitkara, U

Giudice, LC

机构：

[1] Stanford Univ, Med Ctr, Sch Med, Div Reprod Endocrinol & Infertil, Stanford, CA 94305 USA

[2] Stanford Univ, Med Ctr, Sch Med, Div Maternal Fetal Med, Stanford, CA 94305 USA

[3] Stanford Univ, Med Ctr, Sch Med, Dept Obstet & Gynecol, Stanford, CA 94305 USA

来源：

HUMAN REPRODUCTION | 1998年 / 13卷 / 07期

关键词：

cornual pregnancy; interstitial pregnancy; medical management; methotrexate;

D O I：

10.1093/humrep/13.7.1981

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Recent reports describe successful treatment of interstitial ectopic pregnancies using methotrexate, While the number of reported cases is increasing, no consensus exists regarding the management of this complication of pregnancy. We present the successful use of combined systemic and direct intrasac injection of methotrexate for an interstitial pregnancy with the highest yet reported initial P-human chorionic gonadotrophin concentration (102 000 mIU/ml). We also describe the use of Doppler ultrasound for monitoring treatment progression, Through a review of the current literature, we propose to facilitate management decisions and increase outcome success by summarizing previously reported treatment regimens and by describing enhanced parameters for patient selection and monitoring.

引用

页码：1981 / 1986

页数：6

共 25 条

[1] Alternative to surgery of treatment of unruptured interstitial pregnancy: 15 cases of medical treatment [J].