Management of cervical pregnancy: risk factors for failed systemic methotrexate

被引：8

作者：

Hidalgo, LA

Penafiel, J

Chedraui, PA

机构：

[1] Univ Catolica Santiago Guayaquil, Inst Biomed, Fac Ciencias Med, Guayaquil, Ecuador

[2] Enrique C Sotomayor Obstet & Gynecol Hosp, High Risk Pregnancy Unit, Guayaquil, Ecuador

来源：

JOURNAL OF PERINATAL MEDICINE | 2004年 / 32卷 / 02期

关键词：

cervical pregnancy; conservative treatment; methotrexate; transvaginal sonography;

D O I：

10.1515/JPM.2004.034

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Cervical pregnancy is a rare obstetrical complication. Conservative management with systemic methotrexate has been reported to be successful, obviating the need for surgical treatment which entails a risk for hysterectomy. We report the case of a nulliparous patient with a cervical pregnancy diagnosed at 9 weeks gestation who after systemic methotrexate treatment necessitated conservative surgical management. This patient highlights the utility of identified risk factors for failure of methotrexate treatment.

引用

收藏

页码：184 / 186

页数：3

相关论文

共 22 条

[1]

Bai SW, 2002, J REPROD MED, V47, P483

[2] A CASE OF CERVICAL PREGNANCY TREATED WITH METHOTREXATE [J].

CAMLI, L ;

SENYURT, H ;

KAHRAMANI, H ;

GOKMEN, B .

GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 1995, 40 (03) :213-214

[3]

Chew S., 2001, SMJ Singapore Medical Journal, V42, P537

[4]

Eblen AC, 1999, J REPROD MED, V44, P61

[5] Efficacy of methotrexate treatment in extrauterine pregnancies defined by stable or increasing human chorionic gonadotropin concentrations [J].

Gamzu, R ;

Almog, B ;

Levin, Y ;

Avni, A ;

Jaffa, A ;

Lessing, JB ;

Baram, A .

FERTILITY AND STERILITY, 2002, 77 (04) :761-765

[6] Successful management of a viable cervical pregnancy by single-dose methotrexate [J].

Goldberg, JM ;

Widrich, T .

JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE, 2000, 9 (01) :43-45

[7] Are serum human chorionic gonadotropin clearance curves of use in monitoring methotrexate treatment in cervical pregnancy? [J].

Hajenius, PJ ;

Roos, D ;

Ankum, WM ;

Van der Veen, F .

FERTILITY AND STERILITY, 1998, 70 (02) :362-365

[8] A 22-week cervical pregnancy [J].

Has, R ;

Ermis, H ;

Ibrahimoglu, L ;

Yildirim, A .

GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 2000, 50 (02) :139-141

[9] Prognostic factors for an unsatisfactory primary methotrexate treatment of cervical pregnancy: a quantitative review [J].

Hung, TH ;

Shau, WY ;

Hsieh, TT ;

Hsu, JJ ;

Soong, YK ;

Jeng, CJ .

HUMAN REPRODUCTION, 1998, 13 (09) :2636-2642

[10] Combined systemic and intra-amniotic treatment of cervical pregnancy by methotrexate. A report of two cases [J].

Kaminopetros, P ;

Watson, AJS ;

Martinez, D ;

Rand, RJ ;

Thornton, JG .

EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1996, 68 (1-2) :231-234