Conservative Management of Intramural Pregnancy Implanting in The Cesarean Section Scar / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1743-1747, 2004.
Article
Dans Coréen
| WPRIM
| ID: wpr-199608
ABSTRACT
OBJECTIVE:
To evaluate of safety and effectiveness of conservative treatment of previous cesarean section scar pregnancy.METHODS:
Ten patients with previous cesarean section scar pregnancy were treated systemic methotrexate or intra-amnionic methotrexate injection. After treatment, patients were measured for the levels of serum beta-hCG and underwent ultrasound. According to the results, additional dose of methotrexate or curettage were done. Serum beta-hCG and ultrasound were checked several times until the level of serum beta-hCG and the finding of ultrasound had been normalized.RESULTS:
Two patients showed normal serum beta-hCG levels and ultrasound findings after intra-amnionic methotrexate injection only. Two patients showed normal serum beta-hCG levels and ultrasound findings after systemic methotrexate/folinic acid therapy followed by dilatation and curettage. Six patients showed normal serum beta-hCG levels and ultrasound findings after intra-amnionic methotrexate injection followed dilatation and curettage. Two patients were transfused due to massive bleeding and other patients were not experienced severe complications.CONCLUSION:
These results suggest that systemic or intra-amnionic methotrexate therapy with or without dilatation and curettage is safe and effective as a primary therapy for intramural pregnancy implanting in the cesarean section scar.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Grossesse extra-utérine
/
Césarienne
/
Méthotrexate
/
Échographie
/
Cicatrice
/
Curetage
/
Dilatation et curetage
/
Hémorragie
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
/
Grossesse
langue:
Coréen
Texte intégral:
Korean Journal of Obstetrics and Gynecology
Année:
2004
Type:
Article
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