How to treat 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, 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 currently 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 often referred to as Minimally invasive, 3 small incisions are made in the abdomen to enter the pelvic cavity, the fallopian tubes are cut open, the embryos are removed and then sutured, if the incisions are small, sutures are not necessary (<1cm); if the patient does not have fertility requirements or is an emergency patient with life-threatening intra-abdominal hemorrhage and shock, immediate radical surgery should be performed, such as laparoscopic salpingo-oophorectomy on the affected side, which can effectively and quickly stop bleeding, while actively rehydrating and transfusing blood to correct shock. When hemorrhage is life-threatening, open exploratory surgery should also be performed urgently.  Since complete removal of the embryo is difficult during conservative surgery, postoperative chemotherapy is still required. Regardless of the treatment plan, the patient is at a significantly higher risk of recurrence of ectopic pregnancy if she wants to become pregnant again.