Trattamento medico della gravidanza ectopica diagnosticata precocemente:nostra esperienza.

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    Abstract

    [automatically translated] The authors treated with methotrexate (MTX) as a single dose followed by a second identical dose dop the 7th day, if blood levels of B-hCG do not decrease between the 4th and the 7th day of at least 15 %, a group of 20 patients with ectopic pregnancy diagnosed early. In 16 patients, 80% of the cases, the initial blood levels of B-hCG is> 1000 IU / ml and <2000 IU / ml; in 4 patients, equal to 20%, they are> 2000 and <5000 IU / ml. Ultrasound examination performed transvaginal in 18 patients (90% of cases) revealed a uterine cavity without gestational room with decidual reaction well represented; in 2 patients, equal to 10%, adnexal mass of a diameter <3cm. In 15 cases (75%) on the 4th day there was a modest increase in blood levels of B-hCG, which it was accompanied by an increase of the painful adnexal symptoms without significant alterations nor dell'emocromo, nor the ultrasound picture. In 18 cases, accounting for 90% of cases at day 7 was obtained a reduction in blood levels of B-hCG, with resolution of the clinical picture; in 2 cases (10%) it has not been obtained a reduction of blood levels of B-hCG, then was repeated administration of MTX without resolution of the clinical picture. Three patients became pregnant after treatment. in 2 cases (10%) it has not been obtained a reduction of blood levels of B-hCG, then was repeated administration of MTX without resolution of the clinical picture. Three patients became pregnant after treatment. in 2 cases (10%) it has not been obtained a reduction of blood levels of B-hCG, then was repeated administration of MTX without resolution of the clinical picture. Three patients became pregnant after treatment.
    Original languageItalian
    Pages (from-to)225-229
    Number of pages5
    JournalGiornale Italiano di Ostetricia e Ginecologia
    VolumeXXVIII
    Publication statusPublished - 2006

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