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[全身应用甲氨蝶呤联合氯化钾溶液注入妊娠囊治疗宫颈妊娠——病例报告及文献复习]

[Treatment of cervical pregnancy with systemic methotrexate and KCI solution injection into the gestational sac--case report and review of literature].

作者信息

Polak Grzegorz, Stachowicz Norbert, Morawska Dorota, Kotarski Jan

机构信息

Katedra i Klinika Ginekologii Onkologicznej i Ginekologii Uniwersytetu Medycznego w Lublinie, Polska.

出版信息

Ginekol Pol. 2011 May;82(5):386-9.

PMID:21851040
Abstract

We report a case of a 6-week cervical pregnancy successfully treated with systemic methotrexate and gestational sac biopsy with 15%-calcium chloride solution injection. Serial monitoring of human chorionic gonadotropin levels, combined with ultrasound examinations, confirmed spontaneous miscarriage. Applied treatment allowed to avoid hysterectomy and preserve the patient's fertility.

摘要

我们报告一例6周宫颈妊娠病例,通过全身应用甲氨蝶呤及妊娠囊活检并注射15%氯化钙溶液成功治疗。对人绒毛膜促性腺激素水平进行连续监测,并结合超声检查,证实为自然流产。所采用的治疗方法避免了子宫切除术,保留了患者的生育能力。

相似文献

1
[Treatment of cervical pregnancy with systemic methotrexate and KCI solution injection into the gestational sac--case report and review of literature].[全身应用甲氨蝶呤联合氯化钾溶液注入妊娠囊治疗宫颈妊娠——病例报告及文献复习]
Ginekol Pol. 2011 May;82(5):386-9.
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Diagnosis and treatment of early cervical pregnancy: a case report and literature review.早期宫颈妊娠的诊断与治疗:一例病例报告及文献综述
Clin Exp Obstet Gynecol. 2005;32(4):254-6.
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Ultrasonographic appearance of cervical pregnancy following successful treatment with methotrexate.甲氨蝶呤成功治疗后宫颈妊娠的超声表现。
Ultrasound Obstet Gynecol. 2006 Nov;28(6):845-7. doi: 10.1002/uog.3846.
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Cervical ectopic pregnancy treated with systemic methotrexate and following successful term pregnancy: case report.
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Methotrexate for cervical pregnancy. A case report.甲氨蝶呤治疗宫颈妊娠。一例病例报告。
J Reprod Med. 2003 Feb;48(2):130-2.
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Combined medical-hysteroscopic conservative treatment of a viable cervical pregnancy: A case report.联合药物-宫腔镜保守治疗存活的宫颈妊娠:一例报告
J Minim Invasive Gynecol. 2006 Jul-Aug;13(4):345-7. doi: 10.1016/j.jmig.2006.03.009.
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[Seven-weeks cervical pregnancy treated successfully with methotrexate - a case report].[甲氨蝶呤成功治疗七周宫颈妊娠——病例报告]
Med Wieku Rozwoj. 2009 Jan-Mar;13(1):45-8.
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Treatment of cervical pregnancy with ultrasound-guided local methotrexate injection.超声引导下局部注射甲氨蝶呤治疗宫颈妊娠。
Ultrasound Obstet Gynecol. 2017 Dec;50(6):781-787. doi: 10.1002/uog.17384. Epub 2017 Nov 9.
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Cervical pregnancy: transvaginal sonographic diagnosis and conservative surgical management after failure of systemic methotrexate.宫颈妊娠:全身应用甲氨蝶呤失败后的经阴道超声诊断及保守性手术治疗
Ultrasound Obstet Gynecol. 2003 Jun;21(6):620-2. doi: 10.1002/uog.134.
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Sonography of Responsive Versus Nonresponsive Ectopic Pregnancies.有反应性与无反应性异位妊娠的超声检查
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引用本文的文献

1
Cervical ectopic pregnancy.宫颈异位妊娠
J Nat Sci Biol Med. 2015 Jan-Jun;6(1):257-60. doi: 10.4103/0976-9668.149221.
2
Conservative management of cervical pregnancy with intramuscular administration of methotrexate and KCl injection: Case report and review of the literature.甲氨蝶呤肌肉注射联合氯化钾注射保守治疗宫颈妊娠:病例报告及文献复习
World J Clin Cases. 2015 Jan 16;3(1):81-4. doi: 10.12998/wjcc.v3.i1.81.
3
Cervical pregnancy with massive bleeding after treatment with methotrexate.甲氨蝶呤治疗后发生大出血的宫颈妊娠。
BMJ Case Rep. 2013 Aug 8;2013:bcr2013200440. doi: 10.1136/bcr-2013-200440.