書誌事項
- タイトル別名
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- Reproductive outcomes after laparoscopic linear salpingotomy for isthmic tubal pregnancy
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Objective: We investigated reproductive outcomes after laparoscopic linear salpingotomy for isthmic tubal pregnancy.<BR>Methods: From March 2000 to August 2011, we treated 19 cases of tubal isthmic pregnancy by conservative laparoscopic surgery consisting of salpingotomy with local injection of methotrexate (MTX).<BR>Results: Sixteen cases (84%) were successfully treated, but 3 cases were converted to laparoscopic salpingectomy. Out of 16 cases, 2 (13%) were diagnosed with persistent ectopic pregnancy. Seven of 13 patients (54%) demonstrated patency of the treated tube by hysterosalpingography or second look laparoscopy. It was possible to evaluate subsequent fertility for 12 patients, 6 of whom obtained an intrauterine pregnancy and one who had a repeated ectopic pregnancy.<BR>Conclusion: We propose that laparoscopic salpingotomy with local injection of MTX for isthmic pregnancy is suitable in selected cases, if careful management is offered.
収録刊行物
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- 日本産科婦人科内視鏡学会雑誌
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日本産科婦人科内視鏡学会雑誌 28 (1), 438-442, 2012
日本産科婦人科内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282680321184896
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- NII論文ID
- 10031121803
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- NII書誌ID
- AN10068110
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- ISSN
- 18845746
- 18849938
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可