Cervical pregnancy - a conservative stepwise approach

被引：32
作者：
Yitzhak, M
Orvieto, R
Nitke, S
Neuman-Levin, M
Ben-Rafael, Z
Schoenfeld, A
机构：
[1] Rabin Med Ctr, Dept Obstet & Gynecol, IL-49100 Petah Tiqwa, Israel
[2] Rabin Med Ctr, Dept Radiol, Petah Tiqwa, Israel
[3] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
来源：
HUMAN REPRODUCTION | 1999年 / 14卷 / 03期
关键词：
cervical pregnancy; conservative treatment; intraarterial embolization; MTX;
D O I：
10.1093/humrep/14.3.847
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
A case of cervical pregnancy resistant to intramuscular methotrexate therapy is presented, which was successfully treated by intra-arterial methotrexate followed by selective prophylactic hypogastric artery embolization to avoid aggravating the vaginal bleeding. It is suggested that, in cervical pregnancies in which fertility preservation is desired, a stepwise conservative approach should be applied before resorting to surgical intervention.
引用
收藏
页码：847 / 849
页数：3
相关论文
共 11 条
  • [1] Barham J M, 1989, Obstet Gynecol Surv, V44, P650, DOI 10.1097/00006254-198909000-00003
  • [2] ANGIOGRAPHIC EMBOLIZATION OF INTRACTABLE PUERPERAL HEMATOMAS
    CHIN, HG
    SCOTT, DR
    RESNIK, R
    DAVIS, GB
    LURIE, AL
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 160 (02) : 434 - 438
  • [3] The use of methotrexate and arterial embolization to avoid surgery in a case of cervical pregnancy
    Cosin, JA
    Bean, M
    Grow, D
    Wiczyk, H
    [J]. FERTILITY AND STERILITY, 1997, 67 (06) : 1169 - 1171
  • [4] MANTALENAKIS S, 1995, J REPROD MED, V40, P409
  • [5] Conservative treatment using a methotrexate-lipiodol emulsion containing non-ionic contrast medium for a cervical ectopic pregnancy
    Nomiyama, M
    Arima, K
    Iwasaka, T
    Matsunaga, H
    Kato, A
    Sugimori, H
    [J]. HUMAN REPRODUCTION, 1997, 12 (12) : 2826 - 2829
  • [6] PELEG D, 1994, FERTIL STERIL, V62, P405
  • [7] ROCK JA, 1997, TELINDES OPERATIVE G, P523
  • [8] Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection
    Spitzer, D
    Steiner, H
    Graf, A
    Zajc, M
    Staudach, A
    [J]. HUMAN REPRODUCTION, 1997, 12 (04) : 860 - 866
  • [9] Obstetric embolotherapy: Effect on menses and pregnancy
    StancatoPasik, A
    Mitty, HA
    Richard, HM
    Eshkar, N
    [J]. RADIOLOGY, 1997, 204 (03) : 791 - 793
  • [10] Ushakov FB, 1996, OBSTET GYNECOL SURV, V52, P45
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