Abstract | PURPOSE: METHODS: Retrospective study of 87 patients with tubal ectopic pregnancy treated with a single dose of 50 mg/m(2) MTX at Bursa Şevket Yılmaz Research and Education Hospital between January 2011 and July 2012 was performed. RESULTS: The overall success rate is measured as 72.4 %. The two groups of patients, successfully treated patients (n = 63) and unsuccessfully treated patients (n = 24), were compared. The mean initial β-hCG level was significantly lower in the treatment success group than in the treatment failure group (1,417 mIU/mL versus 5,995 mIU/mL, p < 0.001). The number of cases with decreasing β-hCG level on day 4 was significantly more in the success group compared to the failure group (61.9 and 37.5 %, respectively, p = 0.04). The success rate was 90 % when β-hCG levels were <1,000 mIU/mL, 85.7 % when the levels were between 1,000 and 1,999 mIU/mL, and 76.5 % when the levels were between 2,000 and 2,999 mIU/mL, 54.5 % when the levels were between 3,000 and 3,999 mIU/mL. CONCLUSION: Single-dose MTX therapy is a safe and effective treatment modality for tubal ectopic pregnancies with the β-hCG serum concentration below 3,000 mIU/mL, and β-hCG level changes between days 0 and 4 after MTX therapy are important in predicting the outcome of treatment.
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Authors | Emın Ustunyurt, Muzeyyen Duran, Esra Coskun, Özlem Basak Ustunyurt, Harun Simşek |
Journal | Archives of gynecology and obstetrics
(Arch Gynecol Obstet)
Vol. 288
Issue 5
Pg. 1149-52
(Nov 2013)
ISSN: 1432-0711 [Electronic] Germany |
PMID | 23666603
(Publication Type: Journal Article)
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Chemical References |
- Abortifacient Agents, Nonsteroidal
- Chorionic Gonadotropin, beta Subunit, Human
- Methotrexate
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Topics |
- Abortifacient Agents, Nonsteroidal
(therapeutic use)
- Adult
- Chorionic Gonadotropin, beta Subunit, Human
(blood)
- Female
- Humans
- Methotrexate
(therapeutic use)
- Predictive Value of Tests
- Pregnancy
- Pregnancy, Tubal
(blood, drug therapy)
- Retrospective Studies
- Time Factors
- Treatment Failure
- Young Adult
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