Prapas J, Prapas N, Prapa S, Papanikolaou A, Papanikolaou N
4th Department of Obstetrics and Gynecology, Aristotelion University of Thessaloniki, Ippokration Hospital of Thessaloniki, Greece.
Acta Eur Fertil. 1992 Jan-Feb;23(1):25-8.
20 cases of unruptured ectopic pregnancies were studied from August 1990 till May 1991. They were treated according to the Sauers et al. (1987) protocol with Methotrexate and rescuvolin. The treatment was successful in all but one case. Six out of 17 cases had a normal pregnancy in the 12 months following treatment. Seventeen out of 20 cases had tubal patency checked with HSG and laparoscopy. We conclude that conservative management of unruptured pregnancy with MTX must be the treatment of choice.
对1990年8月至1991年5月期间的20例未破裂型异位妊娠病例进行了研究。根据索尔等人（1987年）的方案，采用甲氨蝶呤和亚叶酸钙进行治疗。除1例病例外，其余治疗均获成功。17例中的6例在治疗后的12个月内成功妊娠。20例中的17例通过子宫输卵管造影术（HSG）和腹腔镜检查了输卵管通畅情况。我们得出结论，甲氨蝶呤对未破裂型妊娠的保守治疗必定是首选治疗方法。
