Cervical pregnancy - a conservative stepwise approach

被引:32
作者
Yitzhak, M
Orvieto, R
Nitke, S
Neuman-Levin, M
Ben-Rafael, Z
Schoenfeld, A
机构
[1] Rabin Med Ctr, Dept Obstet & Gynecol, IL-49100 Petah Tiqwa, Israel
[2] Rabin Med Ctr, Dept Radiol, Petah Tiqwa, Israel
[3] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
关键词
cervical pregnancy; conservative treatment; intraarterial embolization; MTX;
D O I
10.1093/humrep/14.3.847
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A case of cervical pregnancy resistant to intramuscular methotrexate therapy is presented, which was successfully treated by intra-arterial methotrexate followed by selective prophylactic hypogastric artery embolization to avoid aggravating the vaginal bleeding. It is suggested that, in cervical pregnancies in which fertility preservation is desired, a stepwise conservative approach should be applied before resorting to surgical intervention.
引用
收藏
页码:847 / 849
页数:3
相关论文
共 11 条
[1]  
Barham J M, 1989, Obstet Gynecol Surv, V44, P650, DOI 10.1097/00006254-198909000-00003
[2]   ANGIOGRAPHIC EMBOLIZATION OF INTRACTABLE PUERPERAL HEMATOMAS [J].
CHIN, HG ;
SCOTT, DR ;
RESNIK, R ;
DAVIS, GB ;
LURIE, AL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 160 (02) :434-438
[3]   The use of methotrexate and arterial embolization to avoid surgery in a case of cervical pregnancy [J].
Cosin, JA ;
Bean, M ;
Grow, D ;
Wiczyk, H .
FERTILITY AND STERILITY, 1997, 67 (06) :1169-1171
[4]  
MANTALENAKIS S, 1995, J REPROD MED, V40, P409
[5]   Conservative treatment using a methotrexate-lipiodol emulsion containing non-ionic contrast medium for a cervical ectopic pregnancy [J].
Nomiyama, M ;
Arima, K ;
Iwasaka, T ;
Matsunaga, H ;
Kato, A ;
Sugimori, H .
HUMAN REPRODUCTION, 1997, 12 (12) :2826-2829
[6]  
PELEG D, 1994, FERTIL STERIL, V62, P405
[7]  
ROCK JA, 1997, TELINDES OPERATIVE G, P523
[8]   Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection [J].
Spitzer, D ;
Steiner, H ;
Graf, A ;
Zajc, M ;
Staudach, A .
HUMAN REPRODUCTION, 1997, 12 (04) :860-866
[9]   Obstetric embolotherapy: Effect on menses and pregnancy [J].
StancatoPasik, A ;
Mitty, HA ;
Richard, HM ;
Eshkar, N .
RADIOLOGY, 1997, 204 (03) :791-793
[10]  
Ushakov FB, 1996, OBSTET GYNECOL SURV, V52, P45