Tóm tắt
Background: Interstitial ectopic pregnancy (IEP) occurs when implantation happens in the interstitial part of the fallopian tubes, accounting for 3% of all ectopic pregnancies. This condition poses challenges for surgical intervention due to the difficulty in locating the gestational mass. This study aims to assess the efficacy of multi-dose intramuscular injection of methotrexate (MTX) in treating IEP in the early stages.
Methods: A cross-sectional study was conducted at Hanoi Obstetrics and Gynaecology Hospital from January 2018 to July 2019. Patients were treated with intramuscular MTX injections at a dosage of 1 mg/kg/24 hours on the first day, with subsequent doses adjusted based on βhCG concentration. A total of four MTX injections were administered.
Results: Among 26 eligible patients, the successful treatment rate was 84.62%. βhCG levels significantly decreased after the third injection.
Conclusion: Multi-dose intramuscular MTX injection is an effective and safe treatment option for interstitial ectopic pregnancies in the early stages.
Tài liệu tham khảo
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| Đã xuất bản | 23-02-2025 | |
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| Số tạp chí | Số 78 (2022) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.38103/jcmhch.78.9 | |
| Từ khóa | Interstitial ectopic pregnancy (IEP), medical treatment Interstitial ectopic pregnancy (IEP), medical treatment |
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