Embarazo ectópico. Manejo no quirúrgico. Estudio retrospectivo de 4 años

Autores/as

  • Guido Parra
  • Ricardo Torrents
  • Eduardo Denubila

DOI:

https://doi.org/10.18597/rcog.801

Palabras clave:

Embarazo ectópico, manejo no quirúrgico

Resumen

Manejo no quirúrgico del embarazo ectópico mediante punción trans, vaginal (Metotrexate) o conducta expectante.

Biografía del autor/a

Guido Parra

Centro de Diagnóstico ultrasonográfico. Clínica La Asunción. Barranquilla

Ricardo Torrents

Centro de Diagnóstico ultrasonográfico. Clínica La Asunción. Barranquilla.

Eduardo Denubila

Centro de Diagnóstico ultrasonográfico. Clínica La Asunción. Barranquilla.

Referencias bibliográficas

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Kadar N., Devore G., Romero R. Discriminatory HCG zone: Its use in the sonographic evaluation for ectopic pregnancy. Obstet. Gynecol. 1981; 58: 156.

Kurjak A., Zalud l., Schulman H. Transvaginal Color-Doppler of trophoblastic flow in questionable adnexa. J. Ultrasound. Med. 1991; 10: 685.

Stovall TG., LingFW., Gray LA., Carson SA., Buster JE. Methotrexate of unruptured ectopic pregnancy: A report of 100 cases. Obstet. Gynecol. 1991; 77: 749-753.

Feichtinger W., Kemeter P. Conservative treatment of ectopic pregnancy by transvaginal aspiration under sonographyc control and Methotrexate injection. Lancet. 1987; 1: 381.

Timor-Trisch l., Baxi L., Peisner DB. Transvaginal salpingocentesis: a new technique for treating ectopic pregnancy. Arn. J. Obstet. Gynecol. 1989; 160: 154.

Fernandez H., Baton C., Lelaidier C., Frydrnan R. Conservative management of ectopic pregnancy: prospective randomized clinical trial of methotrexate versus prostaglandin sulprostone by combined transvaginal and sistemic administration. Fertil Steril 1991; 55: 746.

Lang PF., WeissPAM., MayerHO., HassJG Honigl W. Conservative treatment of ectopic pregnancy with local injection of hiperosmolar glucose solution or prostaglandin F2 alfa: a prospective randomized study. Lancet 1990; 356: 78-81.

Stovall TG., Ling FW., Buster JE. Outpatient chemotherapy or unruptured ectopic pregnancy. Fertil Steril 1989; 51: 435.

Kenigsbery D., Porte J., Hull M., Spitz IM. Medical treatment of residual ectopic pregnancy: RU 486 and Methotrexate. Fertil Steril 1987; 47: 702.

Vilos GA. Danazol as primary therapy of ectopic pregnancy. Abstracts book, World Congress of Gynecologic Endoscopy, AAGL22nd1993; 149.

Garcia AJ ., Jauber JS., Sama J., Josimovich JB. Expectant management of presumed pregnancy. Fertil Steril 1987; 48(3): 395.

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Sauer MV., Gorrill MJ., Rodi lA et al. Non surgical managernent of unruptured insthmic ectopic pregnancy: preliminare experience. Int. J. Fertil 1988; 33(2): 116.

Stovall TG., Ling FW. Extrauterine Pregnancy. Clinical diagnostican managernent. Me Graw-Hill, Inc. 1993; 276.

Femández H., Lelaidier C., Thouvenez V., Frydman R. The use of a pretherapeutic predictive score to determine inclusion criterial for the nonsurgical treatrnent of ectopic pregnancy. Hum. Reprod. 1991; 6: 995-998.

Tekay A., Louppila P. Color Doppler Flow as indicator of trophoblastic activity in tubal pregnancy detected by transvaginal ultrasound. Obstet. Gynecol. 1992; 80: 995.

Schiff E., Buston M., Tsabari A. , Mashiach S., Weiner E. Pharmacokinetic of Methotrexate after local tubal injection for conservative treatment of ectopic pregnancy. Fertil Steril 1992; 57: 688-690.

Carson SA., Stovall T., Urnnstot E et al. Rising human chorionic somatomarnrnotropin predicts ectopic pregnancy rupture following methotrexate chemotherapy. Fertil Sterill989; 51: 593.

Tanaka T., Hayashi H., Kutsuzawa T., Fujirnoto S. Ichince K. Treatment of interstitial ectopic pregnancy with Methotrexate: report of a successful case. Fertil Sterill987; 37: 851 -852.

Sauer MV., Gorrill MJ., Rodi IA. Nonsurgical management of unruptured ectopic pregnancy: An extended clinical trial. Fertil Steril 1987; 48:.752.

Stovall TJ.;Ling FW., Gray LA. Single-dose Methotrexate fortreatment of ectopic pregnancy. Obstet. Gynecol. 1991; 77: 754.

Leeton J., Davison G. Nonsurgical management of unruptured tubar pregnancy with intra-amniotic methotrexate: Preliminary report of two cases. Fertil Steril 1988; 50(1): 167.

Tirnor-Tristch IE., Monteagudo A., Matera C., Veit CR. Sonographic evolution of comual pregnancies treated without surgery. Obstet. Gynecol. 1992; 79: 1044.

Ribic-Pucelj M., Novak-Antolic Z., Urhovec l. Treatment of ectopic pregnancy with prostaglandin E2. Clin. Exp. Obstet. Gynecol. 1989; 16: 106.

Laatikainer T., Tuomivauru L., Kaar K. Comparision of a local injection of hiperosrmolar glucose solution with salpingostorny for the conservative treatrnent of tubal pregnancy. Fertil Sterill993; 60: 80- 84.

De Cherney A., Kase N. The conservative managernent of unruptured ectopic pregnancy. Obstet. Gynecol. 1979; 54: 45:

Kegstein J. , Hepp S., Schneider V. et al. The contac Nd. YAG Laser: A new technique for conservation of the Falopian tube in unruptured ectopic pregnancy. Br. J. Obstet. Gynecol. 1990; 47: 352.

Tekay A., Martikainen H., Heikkinen H., Kivela A., Jouppila P. Disappearance of the trophoblastic blood flow in tubal pregnancy after Methotrexate injection. l. Ultrasound. Med. 1993; 12: 615-618.

Abolahar MA., Mansour RT., Serour GI. Transvaginal injection of potassium cholide and Methotrexate for the treatment of tubal pregnancy with livel fetus . Hum. Reprod. 1990; 5: 887

Fernandez H., Ziegler DD., Bourget Pet al. The place of methotrexate in the managerment of interstitial pregnancy. Hum. Reprod. 1991; 6: 302.

Nelson RM. Bilateral internal Iliac Artery ligation in cervical pregnancy. Conservation of reproductive function. Am. J. Obstet. Gynecol. 1979; 134: 145.

Cómo citar

1.
Parra G, Torrents R, Denubila E. Embarazo ectópico. Manejo no quirúrgico. Estudio retrospectivo de 4 años. Rev. colomb. obstet. ginecol. [Internet]. 30 de junio de 1994 [citado 19 de abril de 2024];45(2):161-70. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/801

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1994-06-30

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