Transvaginal ultrasound guided methotrexate injection for unruptured early tubal pregnancy
- VernacularTitle:经阴道超声引导穿刺注射甲氨蝶呤治疗未破裂型早期输卵管妊娠
- Author:
Wen YANG
;
Yu FANG
;
Ying WANG
- Publication Type:Journal Article
- Keywords:
Tubal pregnancy;
Transvaginal ultrasonography and puncture;
Methotrexate
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
2 000 mIU/ml,combined use of mifepristone(100 mg,twice daily,for 3 days) was employed. Results The treatment succeeded in 28 patients,with a success rate of 87.5%.Acute lower abdominal pain occurred in 4 patients and laparoscopic salpingectomies were carried out.The serum ?-hCG levels decreased by 23%~35% at 3 days after injection,by 38%~62% at 1 week,and to normal levels(≤6.1 mIU/ml) at 2~4 weeks.The mass completed subsided at 30～55 days after injection. Conclusions Transvaginal ultrasound guided methotrexate injection for the management of unruptured early tubal pregnancy is simple,safe, and effective.Further investigations should be carried out in respect of the recovery of tubal anatomy and physiological functions.
