How to treat ectopic pregnancy? Is conservatism reliable?

summary

After the patient entered the hospital, the doctor diagnosed whether the patient had ectopic pregnancy through B-ultrasound, blood test and other technologies. At present, the treatment principle of ectopic pregnancy is mainly surgical treatment, and some mild patients can also be treated with drugs. Let's talk about the treatment method of ectopic pregnancy.

How to treat ectopic pregnancy? Is conservatism reliable?

First, conservative drug treatment. It is mainly suitable for young patients with early tubal pregnancy and fertility preservation. The following conditions can be used: 1) normal liver, kidney and stomach function, no contraindications of drug treatment; 2) tubal pregnancy without rupture; 3) gestational sac diameter < 4cm; 4) blood HCG < 2000u / L; 5) no obvious internal bleeding. Main contraindications: 1) unstable vital signs; 2) rupture of ectopic pregnancy; 3) gestational sac diameter ≥ 4cm or ≥ 3.5cm with fetal heart beat. Drug therapy is divided into chemical therapy and traditional Chinese medicine treatment, the combination of the two is better.

Second: radical operation - salpingectomy: it is suitable for children, normal contralateral fallopian tube and extensive damage of pregnancy fallopian tube, especially for interstitial pregnancy and severe internal hemorrhage shock.

Third: conservative surgery: suitable for early unruptured or rupture diameter ≤ 75px, postoperative fallopian tube can retain ≥ 125px and request to retain fertility.

matters needing attention

Forbid rooming for one month, pay attention to contraception, pay attention to personal hygiene, prevent retrograde infection, and follow up if you feel unwell. The treatment of ectopic pregnancy should be based on the opinions of doctors in regular hospitals.