多次抽吸减胎术保守治疗宫颈妊娠三例临床分析  

Repeated embryo aspiration for reduction of multifetal cervical pregnancy： clinical analysis of 3 cases

作　　者：谢青贞[1] 徐望明[1] 杨菁[1] 龙文[1] 苏红[1] 

机构地区：[1]武汉大学人民医院生殖医学中心,430060

出　　处：《中华全科医师杂志》2008年第5期340-341,共2页Chinese Journal of General Practitioners

摘　　要：回顾性分析3例多次抽吸减胎术保守治疗宫颈妊娠的临床资料，以了解该方法的有效性和安全性。3例宫颈妊娠患者采用多次抽吸减胎术穿刺妊娠囊充分抽吸胎芽和羊水、局部注射甲氨蝶呤2．5-5．0mg配合全身用药保守治疗成功。多次抽吸减胎术治疗8周以内的宫颈妊娠是安全有效的，可缩短病程，减少全身甲氨蝶呤的用量，但甲氨蝶呤有效的最小治疗剂量还需要进一步摸索。Effect and safety of repeated embryo aspiration for reduction of muhifetal cervical pregnancy was retrospectively evaluated. Three women with muhifetal cervical pregnancy successfully received conservative treatment of repeated embryo aspiration under the guidance of transvaginal ultrasound, and the gestational sac contents were aspirated completely. Local （2. 5 -5. 0 mg injectable methotrexate, MTX） or systemic medication was used. Our findings showed that repeated embryo aspiration for reduction of cervical multifetal pregnancy could improve the course of disease, decrease systemic medication of MTX, and discontinue a cervical pregnancy within 8 weeks effectively and safely. However, the minimum therapeutic dose of MTX remained to be explored.

关 键 词：妊娠 异位 子宫颈 

分 类 号：R714.22[医药卫生—妇产科学]