【目前异位妊娠的医学治疗指征】。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-12-01

E Darai, D Sitbon, J L Benifla, E Sebban, C Renolleau, P Madelenat

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引用次数: 0

摘要

今天，早期诊断宫外孕(EP)是可能的测定血浆hCG和经阴道超声检查的改进。这些不同的测试可以在破裂阶段之前诊断出EP。因此，今天药物治疗是外科手术的一个合乎逻辑的选择。药物治疗主要基于使用甲氨蝶呤(MTX)。EP医学治疗的逻辑适应症是:早期EP无腹膜积液，hCG <或= 5000 mUI/ml，超声检查无胚胎心脏活动。肌肉注射甲氨蝶呤1 mg/kg药物治疗与超声控制下输卵管内注射甲氨蝶呤的成功率相似，成功率为91.8%。

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[Current indications for medical treatment of ectopic pregnancy].

Today, the early diagnosis of ectopic pregnancy (EP) is made possible by the assay of plasmatic hCG and the improvement of trans-vaginal sonography. These different tests lead to diagnose the EP before the ruptured stage. Therefore, the medical treatment is today a logical alternative to the surgical one. The medical treatment is mainly based upon the use of methotrexate (MTX). The logical indications for EP medical treatment are: early EP without peritoneum effusion, with hCG < or = 5000 mUI/ml, without embryonic cardiac activity at sonography. The medical therapy by intramuscular injection of MTX at 1 mg/kg gives a success rate of 91.8% similar to the success rate of intra tubal injection of MTX under sonographic control.

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Revue francaise de gynecologie et d'obstetrique

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