Spontaneous resolution of ectopic tubal pregnancy: natural history
作者： Eliezer Shalev , David Peleg , Avinoam Tsabari , Shabtai Romano , Moshe Bustan
DOI: 10.1016/S0015-0282(16)57289-6
关键词: Transvaginal ultrasound 、 Natural history 、 Obstetrics 、 Hcg testing 、 Treatment procedure 、 Medicine 、 Gynecology 、 Ectopic pregnancy 、 Ectopic/Tubal 、 Gynecology department 、 Pregnancy
摘要: Objective To determine the characteristics and long-term outcome of women succeeding or failing expectant management ectopic pregnancy (EP). Design Prospective, defined protocol. Setting University-affiliated gynecology department. Patients We used a protocol that selected with laparoscopic confirmed tubal declining plasma hCG values. Over 5-year period, 60 representing 20.1% EPs fulfilled inclusion criteria. Women were followed serial testing transvaginal ultrasound. Main Outcome Measure Success failure management. Results Expectant was successful in 28 (47.7%) patients. Thirty-two (53.3%) failed management, treatment procedure required. There no difference resultant ipsilateral patency 1-year fertility rates those Analysis showed face values starting > 2,000 mlU/mL (conversion to SI unit, 1.00), 93.3% whereas Conclusion conclude should be offered as option only fulfilling criteria for good prognosis.
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