Conservative Management of Intramural Pregnancy Implanting in The Cesarean Section Scar / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1743-1747, 2004.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Gravidez Ectópica
/
Cesárea
/
Metotrexato
/
Ultrassonografia
/
Cicatriz
/
Curetagem
/
Dilatação e Curetagem
/
Hemorragia
Tipo de estudo:
Estudo diagnóstico
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Obstetrics and Gynecology
Ano de publicação:
2004
Tipo de documento:
Artigo
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