Conservative management of cervical pregnancy with embryonic heart activity by ultrasound-guided local injection: an eight case series.
J Matern Fetal Neonatal Med
; 27(13): 1378-81, 2014 Sep.
Article
em En
| MEDLINE
| ID: mdl-24134459
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of conservative management of cervical pregnancy with embryonic heart activity by ultrasound-guided local injection.METHODS:
Retrospective case series at University tertiary care Hospital. Eight patients diagnosed with cervical pregnancy with embryonic heart activity managed conservatively. The intervention was ultrasound-guided local injection of methotrexate (1 mg/kg) and potassium chloride (2 meq/mL). Measurements were occurrence of morbidity, necessity for further intervention, the initial titers of beta-hCG, interval of time in which the levels of beta-hCG became negative, period for regression of cervical pregnancy at ultrasound and future pregnancy.RESULTS:
All patients were treated successfully. The initial levels of beta-hCG ranged from 3013 to 71199 mUI/mL. One case evaluated with infection. There was no need for additional intervention in our series study. The interval of time for the levels of beta-hCG becomes negative range from 2 to 12 weeks. The period for the regression of the cervical pregnancy at ultrasound range from 3 to 14 weeks. In two cases intrauterine pregnancies occurred after the treatment.CONCLUSION:
Conservative management of cervical pregnancy with embryonic heart activity by ultrasound-guided injection is an effective treatment avoiding the need of further intervention.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cloreto de Potássio
/
Gravidez Ectópica
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Abortivos não Esteroides
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Doenças do Colo do Útero
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Metotrexato
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Ultrassonografia de Intervenção
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article