For patients with old ectopic pregnancy, if the mass has not ruptured and there is no irregular vaginal bleeding, but the test is positive for HCG, you can consider conservative treatment with drugs, which can be oral mifepristone tablets, along with herbal medicines to kill the embryo, and if necessary, intramuscular injections of MTX to kill the embryo. If the old ectopic pregnancy has ruptured, resulting in irregular vaginal bleeding, as well as obvious pain in the lower abdomen, it is necessary to emergency open surgery, or laparoscopic surgery, to remove the old ectopic pregnancy mass directly, or cut off the fallopian tube on one side of the ectopic pregnancy, and after the operation, it is also necessary to repeat the test of HCG, to see its recovery of the decline of the situation.