[Medical treatment of ectopic pregnancies with methotrexate. Retrospective study and literature review].

Revue medicale de Liege Pub Date : 2025-02-01
Clara Szykula, François Closon, Laurent De Landsheere, Frédéric Goffin, Maxime Jason, Patricia Nervo, Athanasios Kakkos, Michelle Nisolle, Frédéric Kridelka, Sophie Schoenen
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引用次数: 0

Abstract

Ectopic pregnancy (EP) affects 1-2 % of all pregnancies and is a significant risk of maternal morbidity and mortality. Treatment with methotrexate (MTX) is well established. However, certain aspects, such as the acceptable serum hCG threshold for considering medical treatment or the usefulness of predictive scores to guide therapeutic decisions, remain controversial. The aim of this multicenter retrospective study was to evaluate the efficacy of MTX in the treatment of EPs at the Gynaecology Department in Liège and the impact of two predictive scores. Of 256 patients included, 206 (80.5 %) were successfully treated with MTX alone. Three predictive factors for success were identified: the type of EP, an initial hCG level below 1500 IU/L and the absence of fetal cardiac activity. The use of these two scores in this cohort did not significantly improve the success rate.

甲氨蝶呤治疗异位妊娠。回顾性研究及文献综述]。
宫外孕(EP)影响所有妊娠的1- 2%,是孕产妇发病率和死亡率的重要风险。用甲氨蝶呤(MTX)治疗已得到很好的证实。然而,某些方面,如考虑药物治疗的可接受的血清hCG阈值或预测评分指导治疗决策的有效性,仍然存在争议。这项多中心回顾性研究的目的是评估MTX在ligenerge妇科治疗EPs的疗效以及两个预测评分的影响。在纳入的256例患者中,206例(80.5%)单独使用甲氨蝶呤成功治疗。确定了成功的三个预测因素:EP类型,初始hCG水平低于1500 IU/L和胎儿心脏活动缺失。在该队列中使用这两种评分并没有显著提高成功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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