Evacuation of the cervix after methotrexate administration in the treatment of cervical pregnancy: five cases
Evacuation of the cervix after methotrexate administration in the treatment of cervical pregnancy: five cases
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DOI：
10.1016/s1472-6483(10)62003-2
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发表时间：
2006-04-01
影响因子：
4
通讯作者：
Bontis, JN
中科院分区：
文献类型：
--
作者：
Grimbizis, G;Chatzigeorgiou, K;Bontis, JN
五个连续的宫颈妊娠患者治疗的标准协议的案例研究。目的是评估在最初接受甲氨蝶呤（MTX）治疗的宫颈妊娠患者中，是否采用刮宫术后再行宫颈填塞作为一种附加方式。5例宫颈妊娠患者接受MTX局部注射和全身给药，其中4例进行了额外的宫颈排空。在2例胎龄超过9周的患者中，额外应用了宫颈填塞。MTX治疗后刮宫期间无并发症发生，2名妇女成功自发怀孕并足月妊娠。
Case studies of five consecutive patients with cervical pregnancy treated with a standard protocol are presented. The aim was to evaluate the place of evacuation with curettage followed or not by cervical tamponade as an additional modality in patients with cervical pregnancies treated initially with methotrexate (MTX). The five patients with cervical pregnancies were treated with local injection and systemic administration of MTX, while in four of them additional cervical evacuation was performed. In two patients, with a gestational age of more than 9 weeks, cervical tamponade was additionally applied. No complications occurred during evacuation with curettage after MTX, and two women managed to become pregnant spontaneously and progressed to full term.