Conservative medical and surgical management of interstitial ectopic pregnancy

摘要: Abstract Objective: To review the definition and diagnosis of interstitial heterotopic pregnancy to evaluate conservative management these conditions. Design: A MEDLINE computer search was used identify relevant studies. The mean values for duration amenorrhea, serum β-hCG level, size ectopic mass, success rates various treatment modalities were calculated from raw data in original publications. Result(s): 41 patients with who treated methotrexate systemically, locally, or combination revealed an overall rate 83%. mass 54 days, 15,127 mIU/mL, 23 mm, respectively. Among 22 laparoscopic techniques, 100%. In this group, 7,572 31 There nine cases pregnancy. Seven managed potassium chloride injected into pregnancy, two by laparoscopy. Overall, 67% coexisting intrauterine pregnancies resulted successful deliveries remainder ended spontaneous abortions. Conclusion(s): Cornual resection hysterectomy a laparotomy should no longer be first line hemodynamically stable patient selected cases, laparoscopy can successfully treating early