腹腔镜治疗异位妊娠——两例报告。

Laparoscopic treatment of ectopic pregnancies--reports of two cases.

作者信息

Kataoka A, Oka K, Yokota D, Motomura S, Kawano K, Hamada T, Yakushiji M

机构信息

Department of Obstetrics and Gynecology, Kurume University School of Medicine, Japan.

出版信息

Kurume Med J. 1993;40(1):17-20. doi: 10.2739/kurumemedj.40.17.

DOI:10.2739/kurumemedj.40.17

PMID:8355474

Abstract

Two cases with ectopic pregnancy were successfully treated by laparoscopic injection of methotrexate (MTX). Case 1: A 29 year-old housewife was laparoscopically treated with a 15 mg MTX injection to the left Fallopian tube. After the laparoscopy, the human chorionic gonadotropin (HCG) was reduced to the normal range. Case 2: A 34 year-old housewife was also laparoscopically treated with a 35 mg MTX injection to the right Fallopian tube. After the laparoscopy, the HCG was quickly reduced to the normal range. The endoscopic approach can be used as the surgical treatment of choice for ectopic pregnancies.

摘要

两例异位妊娠患者通过腹腔镜注射甲氨蝶呤（MTX）成功治愈。病例1：一名29岁的家庭主妇接受了腹腔镜手术，向左侧输卵管注射15mg MTX。腹腔镜检查后，人绒毛膜促性腺激素（HCG）降至正常范围。病例2：一名34岁的家庭主妇也接受了腹腔镜手术，向右侧输卵管注射35mg MTX。腹腔镜检查后，HCG迅速降至正常范围。内镜手术可作为异位妊娠的首选手术治疗方法。