What does the operation method of ectopic pregnancy have
summary
I was just pregnant for more than a month, and then I felt a special pain in my stomach and vaginal bleeding. Because it is the first pregnancy, especially afraid, quickly went to the hospital to see, the result is ectopic pregnancy. Next, I'll talk about the surgical methods of ectopic pregnancy.
What does the operation method of ectopic pregnancy have
First: surgical treatment, laparotomy or laparoscopic surgery. The patients with severe internal hemorrhage complicated with shock should be treated with surgical rescue while actively correcting shock and replenishing blood volume. Open the abdominal cavity quickly, put forward the diseased fallopian tube, clamp the mesosalpinx with oval forceps to control the bleeding quickly, speed up the infusion, and continue the operation after the blood pressure rises.
Second: operation, conventional line affected side salpingectomy. According to the implantation site of fertilized eggs, the fallopian tube can be cut and removed, and then the embryo can be sutured locally or opened after hemostasis by electrocoagulation, or the embryo can be removed by parachute extrusion, so as to preserve the function of fallopian tube. The vital signs and abdominal conditions should be carefully observed during the operation and monitored after the operation. The blood β - hCG should be reexamined 24 hours, 3 days and 7 days after the operation. The results are as follows If the patients were not satisfied with the treatment, they were treated with methotrexate or traditional Chinese medicine to prevent the occurrence of persistent ectopic pregnancy.
Third, the contralateral fallopian tube can be ligated at the same time if sterilization is required. Autotransfusion is one of the effective measures to rescue ectopic pregnancy, especially in the case of lack of blood. The recovery of intraperitoneal blood must meet the following conditions: pregnancy less than 12 weeks, fetal membrane is not broken, bleeding time < 24 hours, blood is not contaminated, microscopic red blood cell destruction rate < 30%; every 100ml blood transfusion plus 3. Anticoagulant with 10ml of 8% sodium citrate can be infused back to the body after 6-8 layers of gauze in the transfusion funnel or filtered by 20 μ m microporous filter; 10ml of 10% calcium gluconate should be added to 400ml of autotransfusion.
matters needing attention
The emergence of ectopic pregnancy is recommended to terminate pregnancy immediately, the need for timely surgery, otherwise it will endanger the life of pregnant women. The operation is to open the abdomen and then remove the fallopian tube. And during the operation, we must always pay attention to the vital signs of pregnant women, and strengthen nutrition after operation.
