Evidence-based management of ectopic pregnancy

被引:23
作者
Tulandi, T [1 ]
Sammour, A [1 ]
机构
[1] McGill Univ, Dept Obstet & Gynecol, Montreal, PQ H3A 1A1, Canada
关键词
D O I
10.1097/00001703-200008000-00004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In selected cases, medical treatment of ectopic pregnancy with methotrexate is as effective as laparoscopic surgery. However, medical treatment might have a more negative impact on the health-related quality of life than surgical treatment. This is partly because of the long resolution time after medical treatment. New evidence suggests that combining methotrexate and mifepristone can shorten this resolution time. (C) 2000 Lippincott Williams & Wilkins.
引用
收藏
页码:289 / 292
页数:4
相关论文
共 29 条
[1]   The expectant management of women with early pregnancy of unknown location [J].
Banerjee, S ;
Aslam, N ;
Zosmer, N ;
Woelfer, B ;
Jurkovic, D .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1999, 14 (04) :231-236
[2]   Rhythmic variation in the rate of ectopic pregnancy throughout the year [J].
Cagnacci, A ;
Landi, S ;
Volpe, A .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (05) :1067-1071
[3]   Levels of vascular endothelial growth factor are elevated in patients with ectopic pregnancy: is this a novel marker? [J].
Daniel, Y ;
Geva, E ;
Lerner-Geva, L ;
Eshed-Englender, T ;
Gamzu, R ;
Lessing, JB ;
Bar-Am, A ;
Amit, A .
FERTILITY AND STERILITY, 1999, 72 (06) :1013-1017
[4]   The utility of a dilatation and evacuation procedure in patients with symptoms suggestive of ectopic pregnancy and indeterminate transvaginal ultrasonography [J].
Dart, R ;
Dart, L ;
Mitchell, P ;
O'Rourke, N .
ACADEMIC EMERGENCY MEDICINE, 1999, 6 (10) :1024-1029
[5]   Broad ligament twin pregnancy following in-vitro fertilization [J].
Deshpande, N ;
Mathers, A ;
Acharya, U .
HUMAN REPRODUCTION, 1999, 14 (03) :852-854
[6]  
Dubuisson JB, 1996, HUM REPROD, V11, P1199
[7]   Randomized trial of conservative laparoscopic treatment and methotrexate administration in ectopic pregnancy and subsequent fertility [J].
Fernandez, H ;
Vincent, SCAY ;
Pauthier, S ;
Audibert, F ;
Frydman, R .
HUMAN REPRODUCTION, 1998, 13 (11) :3239-3243
[8]   Mifepristone in combination with methotrexate for the medical treatment of tubal pregnancy: a randomized, controlled trial [J].
Gazvani, MR ;
Baruah, DN ;
Alfirevic, Z ;
Emery, SJ .
HUMAN REPRODUCTION, 1998, 13 (07) :1987-1990
[9]   Randomised trial of systemic methotrexate versus laparoscopic salpingostomy in tubal pregnancy [J].
Hajenius, PJ ;
Engelsbel, S ;
Mol, BWJ ;
VanderVeen, F ;
Ankum, WM ;
Bossuyt, PMM ;
Hemrika, DJ ;
Lammes, FB .
LANCET, 1997, 350 (9080) :774-779
[10]   Ruptured tubal ectopic pregnancy: Risk factors and reproductive outcome - Results of a population-based study in France [J].
Job-Spira, N ;
Fernandez, H ;
Bouyer, J ;
Pouly, JL ;
Germain, E ;
Coste, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (04) :938-944