title: [Ectopic pregnancy: criteria to choose therapy].
abstract: The ectopic pregnancy (EP) could be treated by spontaneous resolution, or medical treatment or laparoscopic treatment. Spontaneous resolution of EP with beta hCG < 1,000 mUl/ml, plasmatic progesterone < 5 ng/ml had 74% success rate. Methotrexate (MTX) injection is the common Medical treatment of EP with beta hCG < or = 5,000 mUl/ml and mean diameter of EP < or = 3 cm: a single dose of 50 mg/m2 or 1 mg/kg intramuscular injection had 93.4% success rate; local injection under sonographic control (1 mg/kg) had 80.2% success rate. The surgical conservative treatment by laparoscopy had 94% success rate.
authors.affiliation: Hôpital Bichat, Service de gynécologie-obstétrique, Paris.
authors.forename: E
authors.initials: E
authors.lastname: Darai
authors.forename: D
authors.initials: D
authors.lastname: Sitbon
authors.forename: J L
authors.initials: JL
authors.lastname: Benifla
authors.forename: B
authors.initials: B
authors.lastname: Deval
authors.forename: J N
authors.initials: JN
authors.lastname: Guglielmina
authors.forename: F
authors.initials: F
authors.lastname: Filippini
authors.forename: J
authors.initials: J
authors.lastname: Créquat
authors.forename: P
authors.initials: P
authors.lastname: Madelenat
mesh_terms: D006063:Chorionic Gonadotropin / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008727:Methotrexate / Q000627:therapeutic use; D010446:Peptide Fragments / Q000097:blood; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000097:blood / Q000000981:diagnostic imaging / Q000628:therapy*; D011374:Progesterone / Q000097:blood; D014463:Ultrasonography
chemical_list: D006063:Chorionic Gonadotropin; D018997:Chorionic Gonadotropin, beta Subunit, Human; D010446:Peptide Fragments; D011374:Progesterone; D008727:Methotrexate