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Methotrexate로 치유된 자궁경관 임신 1예 보고

Successful Treatment of Cervical Pregnancy with Methotrexate : A Case Report

대한산부인과학회지 1994년 37권 3호 p.566 ~ 570
이철규
신향미/전권희/안영준/황호원

Abstract


Cervical pregnancy is one of the most uncommon form of ectopic pregnancy in which the blastocyst implants within the cervical canal below the internal os of uterine cervix. Most cervical pregnancies are complicated by severe life threatening
hemorrhage
and usually result in abdominal hysterectomy as a life-saving procedure.
Because of her desire to maintain childbearing capacity, the patient was treated with alternative administration of MTX (1 mg/kg, intramuscularly) and leucovorin (0.1 mg/kg, intramuscularly). Follow up was done with serum beta hCG and pelvic
ultrasonography. Complete resolution of pregnancy was gained at 28 days after completion of 1st course methotrexate treatment and 21 day after uneventful endocervical curettage. Methotrexate and leucovorin treatment for cervical pregnancy may be
worth-while trial for preserving reproductive performance.
We present a case of a cervical pregnancy that was successfully managed with methotrexate and leucovorin.

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