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Transcervical interruption of ectopic pregnancy
Journal of the Korean Radiological Society ; : 492-496, 1993.
Article in Korean | WPRIM | ID: wpr-139957
ABSTRACT
The diagnostic possibility and the incidence of ectopic pregnancy are increasing due to several factor. Furthermore, radioimmunoassay of serum β-HCG and US make it possible to diagnose early before the tubal rupture. A conventional surgical approach has been considered as a choice of treatments. Until recent years, however, surgery may have considerable risk of infertility and sugical hazard. In view of the natural tendency of some ectopic pregnancies to terminate in tubal abortion or complete resorption, we tried to cure ectopic pregnancy with nonsurgical transcervical intervention. Five of 8 patients with unruptured tubal pregnancies, it was possible to inject PGF2a into the tubes or gestational sac. 4 of them were ended up with satisfactory reduction of serum β-HCG level and improvement of symptoms & signs. In only one patient, β-HCG level remained a high level continuously, so salpingectomy was done. As a result, we consider that fluoroscopy-guided transcervical interventional procedure is a useful treatment modality for early unruptured ectopic pregnancy.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pregnancy, Ectopic / Pregnancy, Tubal / Rupture / Radioimmunoassay / Abortion, Spontaneous / Incidence / Gestational Sac / Salpingectomy / Infertility Type of study: Incidence study / Prognostic study Limits: Female / Humans / Pregnancy Language: Korean Journal: Journal of the Korean Radiological Society Year: 1993 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pregnancy, Ectopic / Pregnancy, Tubal / Rupture / Radioimmunoassay / Abortion, Spontaneous / Incidence / Gestational Sac / Salpingectomy / Infertility Type of study: Incidence study / Prognostic study Limits: Female / Humans / Pregnancy Language: Korean Journal: Journal of the Korean Radiological Society Year: 1993 Type: Article