Fraza do cytowania: Szymanowski K., Niepsuj‑Biniaś J., Więznowska‑Maczyńska K., Czerniak T., Olejniczak T., Opala T., Chuchracki M. Leczenie zachowawcze ciąży szyjkowej – siedem przypadków. Polski Przegląd Nauk o Zdrowiu. 2014;4(41):290–294. Cervical pregnancy is the most rare occurring and, at the same time the most serious form of ectopic pregnancy. The frequency of this medical condition is estimated at the level of 0,15–0,2% of all types of ectopic pregnancies. Ultrasonography makes it possible to diagnose early stages and to perform conservative treatment, which preserves reproductive function of the patient. We described the diagnostic methods, treatment and its results in 7 patients hospitalized in our clinic between 2005 and 2008. In 2 patients, ectopic cervical pregnancy was diagnosed with a live embryo. Conservative treatment was introduced in all patients. The patients were administered Methotrexate (MTX) intravenously (iv) or intramuscularly (im) together with folic acid. The effectivness of treatment was monitored by estimation of β‑HCG every two days and by consecutively performed vaginal ultrasonography. Performed conservative treatment resulted in the preservation of reproductive function in all described patients.
Słowa kluczowe: cervical pregnancy, methotrexate, conservative treatment.
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