孕10周间质部异位妊娠的成功保守药物治疗：病例报告
Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report.
作者信息
Galani A, Zikopoulos A, Moulias E, Paschopoulos M, Zikopoulos K
机构信息
University Hospital of Ioannina, Department of Obstetrics and Gynecology, Ioannina, Greece.
Obstetrics and Gynecology Royal Cornwall Hospital, Cornwall, UK.
出版信息
Case Rep Womens Health. 2020 Dec 26;29:e00284. doi: 10.1016/j.crwh.2020.e00284. eCollection 2021 Jan.
BACKGROUND
Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested.
CASE PRESENTATION
We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days.
CONCLUSION
Interstitial pregnancy can be managed medically. However, these patients require close monitoring.
背景
间质部妊娠是一种罕见的异位妊娠类型，占异位妊娠的2% - 6%，但可能危及生命。对于其治疗，无论是手术治疗还是药物治疗，目前尚无明确的共识，这取决于血流动力学稳定性以及是否要求保留生育功能。
病例报告
我们报告一例35岁女性（孕2产1）的病例，该患者在体外受精后妊娠10周时被诊断为间质部妊娠。她血流动力学稳定，要求保留生育功能。通过甲氨蝶呤和亚叶酸成功治疗，住院17天。
结论
间质部妊娠可以通过药物治疗。然而，这些患者需要密切监测。
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