SUCCESSFUL MANAGEMENT OF VIABLE CERVICAL PREGNANCY BY LOCAL INJECTION OF METHOTREXATE GUIDED BY TRANSVAGINAL ULTRASONOGRAPHY

被引：93

作者：

TIMORTRITSCH, IE

MONTEAGUDO, A

MANDEVILLE, EO

PEISNER, DB

ANAYA, GP

PIRRONE, EC

机构：

[1] COLUMBIA PRESBYTERIAN MED CTR,SLOANE HOSP WOMEN,DEPT OBSTET & GYNECOL,NEW YORK,NY 10032

[2] BOOTH MEM MED CTR,DEPT OBSTET & GYNECOL,FLUSHING,NY 11355

[3] UNIDAD MED LA ASCUNCION,BARRANQUILLA,COLOMBIA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 1994年 / 170卷 / 03期

关键词：

CERVICAL PREGNANCY; METHOTREXATE; TRANSVAGINAL ULTRASONOGRAPHY;

D O I：

10.1016/S0002-9378(94)70273-X

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We evaluated the feasibility of transvaginal methotrexate injection of viable cervical pregnancies to avoid complications of the ''classic'' surgical procedures in use and to preserve future fertility. Five viable cervical pregnancies, at 6 to 8 weeks, were treated. In three patients a spring-loaded automated puncture device and in two a manually operated simple needle guide mated to and guided by a transvaginal ultrasonography probe were used with 21-gauge needles. The puncture and injection treatment was successful and without complications in all five cases presented. This procedure may become a useful alternative to other, more radical or complex surgical approaches.

引用

页码：737 / 739

页数：3