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F19The use of color Doppler ultrasound in conservative menagement of ectopic pregnancy
Author(s) -
Bauman R.,
Kupesc S.,
Hafner T.,
Stilinovic K.,
Ilijas M.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00015-1-19.x
Subject(s) - medicine , ectopic pregnancy , obstetrics , pregnancy , ultrasound , conservative treatment , gynecology , surgery , radiology , genetics , biology
Background Up to 20% of all patients with ectopic pregnancies located in the ampullary part of the tube could be treated by expectant menagement. Conservative treatment with MTX is a method of choice in cases of cervical or cornual pregnancy. Serum values of ßhCG are commonly used as an indirect indicator of trophoblastic proliferative activity. The aim of this study is to establish the value of color Doppler ultrasound in conservative menagement of ectopic pregnancies. Method All patients with ectopic pregnancies that have been treated conservatively in our Department had serial ßhCG measurements and color Doppler examinations. Results From January 1998. to December 1999. total of 21 patient with ectopic pregnancy had expectant menagement. Spontaneous resolution occurred in 15 patients and in 6 patients we had to perform laparoscopy. One patient with cornual pregnancy and one patient with cervical pregnancy were successfully treated with MTX. In all patients color Doppler findings could be correlated with serum ßhCG values. Conclusion Color Doppler ultrasound can be used in addiction to hormone asseys in order to follow the resolution of ectopic pregnancies treated expectantly or with MTX.