What to do about ectopic pregnancy

  Ectopic pregnancy is a medical term for a fertilized egg that has settled outside the uterine cavity, usually referred to as tubal pregnancy. When patients have vaginal bleeding or abdominal pain after menopause, they should seek medical attention in time; clinically, those who have ectopic pregnancy clearly identified through auxiliary examination should be hospitalized as soon as possible, and at present, its treatment is mainly divided into two categories: conservative drug treatment and surgical treatment.  1.Medication: For young patients with early ectopic pregnancy who want to preserve their fertility, if their vital signs are stable and their blood HCG is very low (less than 500U/L), they can take Chinese medicine treatment. If the blood HCG (human chorionic gonadotropin) is low (less than 2000 U/L), the ultrasound indicates that the fetal sac of ectopic pregnancy is not large (not more than 4 cm), rupture has not occurred, and there is no obvious internal bleeding, drug chemotherapy is feasible. If the blood HCG decreases and is negative for 3 times in a row, and the symptoms such as abdominal pain and vaginal bleeding are relieved or disappear, it is regarded as effective (the treatment is more useful). It is worth noting that MTX is a drug that may have toxic side effects, causing abnormal bone marrow hematopoietic function and endangering life in serious cases.  2.Surgical treatment: laparoscopic surgery is the main clinical treatment for ectopic pregnancy. For young patients with fertility requirements, especially those who have had one side of the fallopian tube removed or diseased, conservative surgical options can be used, such as laparoscopic tubal window retrieval, which is what we often call minimally invasive, in which three small incisions are made in the abdomen to enter the pelvis, cut open the fallopian tube, remove the embryo and then suture it; if the incision is small, suturing is not necessary ( <If the patient does not have fertility requirements or is an emergency patient with life-threatening intra-abdominal hemorrhage, immediate radical surgery such as laparoscopic salpingo-oophorectomy should be performed to effectively and quickly stop the hemorrhage, while actively rehydrating and transfusing blood to correct the shock. When hemorrhage is life-threatening, open exploratory surgery should also be performed on an emergency basis.