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尽管异位妊娠不断增加,但宫颈妊娠的发病率变化不大。在目前病例中,约有50%病人做了子宫切除术。1982年,Tanaka等首先报道用氨甲喋呤(MTX)治疗异位妊娠取得成功。Farabow等叙述了MTX治疗宫颈妊娠的方法,但未能保留子宫。1988年,Oyer等报道用多次MTX治疗宫颈妊娠,并保留了子宫。本例首次用单剂量MTX治疗宫颈妊娠并保留子宫成功。 23岁白人妇女,孕_2产_1,末次月经1988年1月中旬。二月份有两天点滴出血,在入院前一周,出现过性交后出血,入院前4天开始点滴出血。并于1988年3月17日因痉挛性腹痛,尿频,突然阴道大出血而急诊入院。否认有组织物自阴道排出,有明
Despite the increasing number of ectopic pregnancies, the incidence of cervical pregnancies has not changed much. In the current case, about 50% of the patients underwent hysterectomy. In 1982, Tanaka et al. First reported successful treatment of ectopic pregnancy with methotrexate (MTX). Farabow et al described MTX treatment of cervical pregnancy method, but failed to retain the uterus. In 1988, Oyer et al reported that MTX treatment of cervical pregnancy with multiple, and retained the uterus. This is the first case of single-dose MTX treatment of cervical pregnancy and retained the success of the uterus. 23-year-old white woman, pregnancy _2 production _1, the last menstrual mid-January 1988. Two days in February drip bleeding, bleeding in the week before admission, there has been bleeding after 4 days before admission drip bleeding. And in March 17, 1988 due to spasmodic abdominal pain, frequent urination, sudden vaginal bleeding and emergency admission. Denied the fabric from the vaginal discharge, there are bright