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两名异位妊娠患者期待治疗后的意外结局。

Unexpected outcome after expectant management of ectopic pregnancy in two persons.

作者信息

Hosseini Reihaneh, Asgari Zahra, Moini Ashraf

机构信息

Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran. ; Department of Endocrinology and Female Infertility at Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.

出版信息

Iran J Reprod Med. 2013 Dec;11(12):1027-30.

PMID:24639730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3941404/
Abstract

BACKGROUND

Ectopic pregnancy is one of the main problems in women in reproductive age that needs special attention and appropriate strategy should be managed. In some cases expectant management seems good strategy without any medicine or surgery and their possible side effects. But are the outcomes always the same? Which outcomes should we expect?

CASE

We have reported 2 patients whose ectopic pregnancy had been managed conservatively and they had sustained pain for several months which needed surgery to resolve.

CONCLUSION

In the case of ectopic pregnancy, it is important for the clinician to select the patient meticulously and be aware of common and rare consequences of her treatment.

摘要

背景

异位妊娠是育龄期女性面临的主要问题之一,需要特别关注并应采取适当的应对策略。在某些情况下,期待疗法似乎是一种不错的策略,无需使用任何药物或进行手术,也不存在其可能的副作用。但结果总是相同的吗?我们应该期待哪些结果呢?

病例

我们报告了2例异位妊娠采用保守治疗的患者,她们持续疼痛了数月,最终需要通过手术来解决。

结论

对于异位妊娠病例,临床医生仔细挑选患者并了解其治疗常见和罕见后果非常重要。

相似文献

1
Unexpected outcome after expectant management of ectopic pregnancy in two persons.两名异位妊娠患者期待治疗后的意外结局。
Iran J Reprod Med. 2013 Dec;11(12):1027-30.
2
The impact of expectant management, systemic methotrexate and surgery on subsequent pregnancy outcomes in tubal ectopic pregnancy.期待治疗、全身应用甲氨蝶呤及手术对输卵管异位妊娠后续妊娠结局的影响。
Ir J Med Sci. 2017 May;186(2):387-392. doi: 10.1007/s11845-016-1419-5. Epub 2016 Feb 19.
3
Methotrexate or expectant management in women with an ectopic pregnancy or pregnancy of unknown location and low serum hCG concentrations? A randomized comparison.甲氨蝶呤或期待疗法治疗血清人绒毛膜促性腺激素浓度低的异位妊娠或不明位置妊娠妇女?一项随机比较。
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Arch Gynecol Obstet. 2021 Jan;303(1):259-268. doi: 10.1007/s00404-020-05749-2. Epub 2020 Aug 27.
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Efficacy and safety of a clinical protocol for expectant management of selected women diagnosed with a tubal ectopic pregnancy.期待治疗诊断为输卵管异位妊娠的特定女性患者的临床方案的疗效和安全性。
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Hum Reprod. 1991 Nov;6(10):1474-7. doi: 10.1093/oxfordjournals.humrep.a137292.

本文引用的文献

1
Methotrexate or expectant management in women with an ectopic pregnancy or pregnancy of unknown location and low serum hCG concentrations? A randomized comparison.甲氨蝶呤或期待疗法治疗血清人绒毛膜促性腺激素浓度低的异位妊娠或不明位置妊娠妇女?一项随机比较。
Hum Reprod. 2013 Jan;28(1):60-7. doi: 10.1093/humrep/des373. Epub 2012 Oct 18.
2
Non-surgical management of ectopic pregnancy: appropriate risk management must be in place.异位妊娠的非手术治疗:必须制定适当的风险管理措施。
Arch Gynecol Obstet. 2011 May;283(5):925-7. doi: 10.1007/s00404-010-1788-3. Epub 2010 Dec 14.
3
Ectopic pregnancy: challenging accepted management strategies.
异位妊娠:挑战公认的管理策略。
Aust N Z J Obstet Gynaecol. 2009 Aug;49(4):346-51. doi: 10.1111/j.1479-828X.2009.01032.x.
4
Does tubal ectopic pregnancy with hemoperitoneum always require surgery?输卵管妊娠合并腹腔内出血是否一定需要手术?
Ultrasound Obstet Gynecol. 2009 Jun;33(6):711-5. doi: 10.1002/uog.6384.
5
Fertility outcomes following expectant management of tubal ectopic pregnancy.输卵管异位妊娠期待治疗后的生育结局。
Ultrasound Obstet Gynecol. 2007 Dec;30(7):988-93. doi: 10.1002/uog.5186.
6
Ectopic pregnancy: forget the "classic presentation" if you want to catch it sooner.异位妊娠:若想更早发现,就别拘泥于“典型表现”。
J Fam Pract. 2006 May;55(5):388-95.
7
Factors influencing the success of conservative treatment of interstitial pregnancy.影响间质部妊娠保守治疗成功的因素。
Ultrasound Obstet Gynecol. 2005 Sep;26(3):279-82. doi: 10.1002/uog.1961.
8
Expectant management of tubal ectopic pregnancy: prediction of successful outcome using decision tree analysis.输卵管异位妊娠的期待治疗:使用决策树分析预测成功结局
Ultrasound Obstet Gynecol. 2004 Jun;23(6):552-6. doi: 10.1002/uog.1061.
9
Expectant management of early pregnancies of unknown location: a prospective evaluation of methods to predict spontaneous resolution of pregnancy.不明位置早期妊娠的期待管理:预测妊娠自然转归方法的前瞻性评估
BJOG. 2001 Feb;108(2):158-63. doi: 10.1111/j.1471-0528.2001.00031.x.
10
Expectant treatment of ectopic pregnancies: clinical and sonographic predictors.异位妊娠的期待治疗:临床及超声预测因素
AJR Am J Roentgenol. 2001 Jan;176(1):123-7. doi: 10.2214/ajr.176.1.1760123.