What treatment method does ectopic pregnancy have?
summary
In today's society, with the increase of female friends' understanding of the dangers of ectopic pregnancy, as well as their concern about ectopic pregnancy, it has become the answer that many women actively seek. The principle of treatment of ectopic pregnancy is mainly surgical treatment. There are two kinds of surgical treatment. One is to remove the affected side of the fallopian tube; One is to preserve the affected side of the fallopian tube surgery, that is, conservative surgery. What treatment method does ectopic pregnancy have? Let's talk about it
What treatment method does ectopic pregnancy have?
Conservative surgery is suitable for young women with fertility requirements, especially those with contralateral fallopian tube resection or obvious lesions. In recent years, due to the improvement of diagnostic technology, the number of tubal pregnancy diagnosed before abortion or rupture is increasing, so the use of conservative surgery is significantly more than in the past. According to the implantation site of the fertilized egg and the pathological changes of the fallopian tube, we can choose the operation method. If it is an umbrella pregnancy, we can squeeze out the pregnancy product; The ampullary pregnancy was treated with salpingotomy, then the embryo was taken out and sutured; Isthmus pregnancy underwent segmental resection and end-to-end anastomosis. Microsurgical technique can improve the pregnancy rate. In addition to laparotomy, conservative surgery can also be performed by laparoscopy.
The treatment principle of tubal pregnancy is surgery, which should be performed after diagnosis. The operation method generally adopts total salpingectomy, and those who require sterilization can be ligated at the same time. If the contralateral fallopian tube has been removed or has obvious pathological changes, conservative operation is feasible for young women with contralateral fallopian tube fertility requirements, so as to preserve the fallopian tube and its function. According to the patient's general condition, the implantation site of the pregnant egg and the degree of tubal lesions, we can choose the operation method, such as the extrusion of the pregnant egg in the umbrella end pregnancy, the incision of the ampulla pregnancy to remove the pregnant egg isthmus pregnancy, the excision of the lesion and the anastomosis of the broken end, and the microsurgical technology can improve the pregnancy rate. The treatment of tubal interstitial pregnancy can be performed by hysterectomy or total hysterectomy. In recent years, laparoscopic diagnosis and treatment of tubal pregnancy autotransfusion at home and abroad is one of the effective measures to rescue acute ectopic pregnancy, especially in the case of lack of blood source. The recovery of intraperitoneal blood must meet the following conditions: pregnancy < 12 weeks, fetal membrane rupture of bleeding < 24 hours, blood uncontaminated, microscopic red blood cell rupture rate < 30%.
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. It is welcomed by the majority of patients.
matters needing attention
Within 6 hours after the operation, the pillow was removed and the patient was in a supine position with his head to one side to prevent vomit from being inhaled into the trachea; Due to the influence of drugs, some patients will have varying degrees of nausea and vomiting after operation. Eating can be postponed appropriately. Those without nausea and vomiting can only eat 6 hours after operation. After surgery, we should pay attention to eating high protein, high calorie, high vitamin, easy to digest diet, do not drink sweet milk, soybean milk powder and other sugary drinks. The rest time after operation varies from person to person. One week after operation, we can take part in general activities, but we should not do heavy physical work.
