Department of Obstetrics and Gynecology, Bronx Lebanon Hospital Center, New York, NY 10457, USA.
Int J Gynaecol Obstet. 2013 Mar;120(3):254-6. doi: 10.1016/j.ijgo.2012.10.018. Epub 2012 Dec 29.
To evaluate compliance with follow-up among inner-city patients with ectopic pregnancy treated with methotrexate, in addition to assessing outcome.
Retrospective analysis of all patients evaluated for first-trimester bleeding and diagnosed with ectopic pregnancy at the Bronx Lebanon Hospital Center, New York, USA, from October 2007 to March 2011. Compliance and complications were evaluated for all patients who received medical treatment with methotrexate.
Ninety-nine patients with hemodynamically stable ectopic pregnancies were identified. Therapy with methotrexate was effective in 87 (87.9%) cases. Only 10 (10.1%) patients were fully compliant during follow-up after methotrexate administration. There were no differences according to ethnicity. Number of follow-up visits after treatment significantly affected compliance.
Improvements in selection criteria for therapy and simplification of follow-up for patients with medically managed ectopic pregnancy are required.
评估接受甲氨蝶呤治疗的市中心异位妊娠患者的随访依从性，并评估结局。
对 2007 年 10 月至 2011 年 3 月在美国纽约布朗克斯莱巴嫩医院中心因孕早期出血且诊断为异位妊娠而接受评估的所有患者进行回顾性分析。对所有接受甲氨蝶呤药物治疗的患者评估治疗依从性和并发症。
共确定 99 例血流动力学稳定的异位妊娠患者。甲氨蝶呤治疗有效 87 例（87.9%）。甲氨蝶呤治疗后仅 10 例（10.1%）患者完全遵医嘱随访。不同种族之间无差异。治疗后随访次数显著影响依从性。
需要改进治疗的选择标准，并简化接受药物治疗的异位妊娠患者的随访。
