Parrilla J J, Abad L, Server J, Gimeno F, Martinez-Román S, Balasch J
Department of Obstetrics and Gynecology, Hospital Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain.
Hum Reprod. 1995 Jul;10(7):1866-8. doi: 10.1093/oxfordjournals.humrep.a136194.
We reported on three successive cases of intrauterine term pregnancy obtained in patients with an ectopic gestation in their solitary remaining tube who were treated by three different non-surgical conservative methods: parenteral methotrexate, local injection of methotrexate combined with systemic administration, and expectant management respectively. The opposite tube had been removed because of previous tubal ectopic pregnancy. The cases, which were at a high risk of repeated ectopic implantation, are unequivocal proof of intact function of a tube after conservative non-surgical procedures for ectopic pregnancy. Thus, our report adds further evidence favouring the feasibility, the safety and fertility potential of these procedures for selected unruptured tubal gestations.
我们报告了三例连续的病例，这些病例均为宫内足月妊娠，其患者为仅存一侧输卵管且发生过异位妊娠，分别接受了三种不同的非手术保守治疗方法：甲氨蝶呤肌内注射、甲氨蝶呤局部注射联合全身给药以及期待疗法。对侧输卵管因既往输卵管异位妊娠已被切除。这些病例具有较高的重复异位着床风险，明确证明了异位妊娠非手术保守治疗后输卵管功能完好。因此，我们的报告进一步证明了这些方法对于部分未破裂输卵管妊娠的可行性、安全性及生育潜力。
