How to treat early ectopic pregnancy

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. How to treat the initial ectopic pregnancy.

How to treat early ectopic pregnancy

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. Extrusion: it is suitable for distal pregnancy of umbrella and ampulla, but it is not recommended because of the high rate of recurrent ectopic pregnancy and persistent ectopic pregnancy after operation; stoma (fenestration) and incision and suture: it is suitable for ampulla pregnancy; resection and anastomosis: it is suitable for isthmus or proximal ampulla pregnancy to ensure the length of anastomosis ≥ 125px.

matters needing attention

In recent years, minimally invasive laparoscopic technology is becoming more and more mature and widely used in the field of Obstetrics and Gynecology, which makes the treatment of ectopic pregnancy from "giant wound" to "minimally invasive". Because of its small surgical trauma, less bleeding, short operation time, fast postoperative recovery, short hospital stay, almost no abdominal scar, less pelvic adhesion, mild tubal obstruction, it is easier to retain the fallopian tube. Tissue coagulation can prevent the exudation and deposition of cellulose, and significantly improve the quality of life of patients after operation.