학술논문
Mehotrexate 국소요법으로 치유한 자궁경관임신
Successful Management of a Viable Cervical pregnancy by Local injeciton of Methotrexate Guided by Transvaginal Ultrasonography
Successful Management of a Viable Cervical pregnancy by Local injeciton of Methotrexate Guided by Transvaginal Ultrasonography
Document Type
Article
Source
Obstetrics & Gynecology Science. Apr 30, 1995 38(4):720
Subject
Language
Korean
ISSN
2287-8572
Abstract
저자들은 자궁경관임신으로 진단받고 태아 심박동이 확인된 환자에서 MTX 전신요법을 사용 하여 실패한 후 질초음파하에서 양막강내 MTX 직접 주십을 시도하여 성공하였다. 임신능력을 유지하기 위해 자궁보존을 목적으로 하는 경우, 초기에 진단되는 자궁경관 임신 에서 치료방법으로 양막내 MTX 직접 투여를 시도해 볼가치가 있다고 사료되는 바이다.
The possibility of fertility loss is nerver greater than with a cervical pregnancy, the rarest type of ectopic gestation. Methotrexate has been utilized recently for the successful management of tubal, interstitial and cervical ectopic gestations. We report a case in which a viable cervical pregnancy was diagnosed in the first trimester and in which the patient was successfully treated with intraamniotic methotrexate administraion guided by transvaginal ultrasonography without surgery after failure fo systemic methotrexate management.
The possibility of fertility loss is nerver greater than with a cervical pregnancy, the rarest type of ectopic gestation. Methotrexate has been utilized recently for the successful management of tubal, interstitial and cervical ectopic gestations. We report a case in which a viable cervical pregnancy was diagnosed in the first trimester and in which the patient was successfully treated with intraamniotic methotrexate administraion guided by transvaginal ultrasonography without surgery after failure fo systemic methotrexate management.