Diagnosis and treatment of ectopic pregnancy

  Ectopic pregnancy is a dangerous emergency abdominal condition in gynecology and must be treated with great vigilance. In case of menopause, abdominal pain and vaginal bleeding, you should go to the hospital immediately to check and confirm the diagnosis. It is also important to carry out timely resuscitation to reduce or prevent abdominal bleeding and avoid serious consequences due to excessive bleeding.  Common causes of ectopic pregnancy are tubal inflammation and adhesions, such as chronic tubal inflammation, tuberculosis, endometriosis, etc.  Main symptoms Abdominal pain, menopause, vaginal bleeding, syncope and shock and other symptoms, there can be nausea, vomiting and frequent urination. Symptoms of ectopic pregnancy are often atypical, and some patients experience shock due to hemorrhage, pallor and decreased blood pressure.  Treatment is divided into conservative treatment and surgical treatment.  Conservative treatment: It is mainly applied to young patients with early ectopic pregnancy who require preservation of fertility.  The following conditions are generally considered to be met: 1) tubal pregnancy mass <3 cm in diameter 2) tubal pregnancy without rupture or miscarriage 3) no significant internal bleeding 4) blood HCG <2000 U/L. Chemotherapy is usually systemic or local. The mechanism of treatment is to inhibit the proliferation of trophoblast cells and destroy the chorionic villi, so that the embryonic tissues can be necrosed, shed and absorbed without surgery.  There are two types of surgical treatment for ectopic pregnancy: one is to remove the affected fallopian tube; the other is to preserve the affected fallopian tube, i.e. conservative surgery.  Minimally invasive treatment of ectopic pregnancy In recent years, the minimally invasive laparoscopic technology has become increasingly mature and widely used in the field of obstetrics and gynecology, so that the treatment of ectopic pregnancy is also moving from "mega-invasive" to "minimally invasive". It is easier to preserve the fallopian tubes because of its small surgical trauma, less bleeding, short operation time, quick recovery, short hospital stay, almost no scar in the abdomen, less pelvic adhesions and slight tubal obstruction.