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多剂量甲氨蝶呤治疗宫颈妊娠

Multidose methotrexate treatment of cervical pregnancy.

作者信息

Weibel Helene S, Alserri Abdulrahman, Reinhold Caroline, Tulandi Togas

机构信息

Department of Obstetrics and Gynecology, McGill University, Montreal QC.

Department of Radiology, McGill University, Montreal QC.

出版信息

J Obstet Gynaecol Can. 2012 Apr;34(4):359-362. doi: 10.1016/S1701-2163(16)35217-3.

Abstract

BACKGROUND

Cervical pregnancy is a rare form of ectopic pregnancy. The treatment ranges from medical treatment with methotrexate to hysterectomy.

CASES

We report two cases of cervical pregnancy with fetal cardiac activity that were successfully treated with multidose methotrexate.

CONCLUSION

Due to the possible severe complications of cervical pregnancy and its surgical management, multidose methotrexate treatment in hemodynamically stable women is an appropriate option.

摘要

背景

宫颈妊娠是一种罕见的异位妊娠形式。治疗方法从使用甲氨蝶呤的药物治疗到子宫切除术不等。

病例

我们报告了两例有胎心活动的宫颈妊娠病例,它们通过多剂量甲氨蝶呤成功治愈。

结论

由于宫颈妊娠及其手术治疗可能会引发严重并发症,对于血流动力学稳定的女性,多剂量甲氨蝶呤治疗是一种合适的选择。

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