Abstract

The article presents the results of treatment of ectopic tubal pregnancy. Multiparous with episodes of artificial, involuntary termination of previous pregnancies, ectopic pregnancy in the previous history, inflammatory diseases of the upper portion of the reproductive tract, infertility, diagnostic- therapeutic invasions into the uterine cavity because of benign tumors or underlying processes in the endometrium, relapsing infections of the lower portion of the reproductive tract, and experienced laparotomy/laparoscopy because of surgical pathology are found to be in a high risk group concerning development of ectopic pregnancy. The majority of them (76,5 %) had a lack of pre-gravid training. Expectant tactics of patient management took place in 14,7 % of observations. The majority of cases of ectopic pregnancy (67,7 %) resulted in surgery. Practically in a half of them (43,5 %) organ- preserving surgery of the fallopian tube were performed. According to our studies, effective conservative treatment of ectopic pregnancy with Methotrexate was 50 %. Positive experience with Methotrexate administration was obtained with interpretation of certain symptoms occurring after its use in patients being under our observation.

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