经阴道超声引导下抽吸联合单剂量甲氨蝶呤保守治疗宫颈异位妊娠
Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound-guided aspiration and single-dose methotrexate.
作者信息
Cepni Ismail, Ocal Pelin, Erkan Sanli, Erzik Burcak
机构信息
Department of Obstetrics and Gynecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
出版信息
Fertil Steril. 2004 Apr;81(4):1130-2. doi: 10.1016/j.fertnstert.2003.09.052.
OBJECTIVE
To present a case of cervical ectopic pregnancy successfully treated with ultrasound-guided aspiration and single-dose methotrexate administered systemically.
DESIGN
Case report.
SETTING
University hospital.
PATIENT(S): A 27-year-old nulliparous woman with a cervical ectopic pregnancy.
INTERVENTION(S): Transvaginal ultrasound-guided aspiration of the cervical ectopic pregnancy followed by single-dose methotrexate administered systemically.
MAIN OUTCOME MEASURE(S): Recovery of the patient, successful conservative treatment of the cervical ectopic pregnancy, with preservation of the uterus.
RESULT(S): The cervical ectopic pregnancy was successfully aborted, and the reproductive capability of the patient was preserved.
CONCLUSION(S): Transvaginal ultrasound-guided aspiration in combination with single-dose methotrexate administered systemically can be safely used to treat cervical ectopic pregnancies.
目的
介绍一例通过超声引导下抽吸及全身单次注射甲氨蝶呤成功治疗宫颈异位妊娠的病例。
设计
病例报告。
地点
大学医院。
患者
一名27岁未生育的宫颈异位妊娠女性。
干预措施
经阴道超声引导下抽吸宫颈异位妊娠物，随后全身单次注射甲氨蝶呤。
主要观察指标
患者康复情况，宫颈异位妊娠保守治疗成功，子宫得以保留。
结果
宫颈异位妊娠成功终止，患者生殖能力得以保留。
结论
经阴道超声引导下抽吸联合全身单次注射甲氨蝶呤可安全用于治疗宫颈异位妊娠。
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