Management of ectopic pregnancies with poor prognosis through ultrasound guided intrasacular injection of methotrexate, series of 14 cases.
作者： María P. Andrés , José M. Campillos , María Lapresta , Isabel Lahoz , Raquel Crespo
DOI: 10.1007/S00404-011-2044-1
关键词:
摘要: The purpose of this study is to describe our experience in cases tubal ectopic pregnancy with heartbeat, abdominal, interstitial (corneal) and cervical pregnancies treated intrasacular injection methotrexate (MTX) administered under ultrasound guidance associated a single systemic dose MTX. Descriptive retrospective 14 extrauterine MTX control, attended the Maternal-Fetal Medicine Unit Miguel Servet University Hospital, Zaragoza, Spain, between January 2009 June 2010. Of pregnancies, 7 were 3 cornual, 2 abdominal. average gestational age was 7 + 3 weeks β-hCG value on date puncture 22,885.69 mIU/mL. Surgical treatment required two cases, first due post-puncture haemoperitoneum second as consequence rupture corneal pregnancy. In post-treatment monitoring, an asymptomatic increase seventh day observed cases. success rate 92.96%. Ultrasound guided adjusted body surface patient minimally invasive, safe effective cornual or
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