What is the best treatment for ectopic pregnancy?

Today I want to tell you about the best treatment for ectopic pregnancy. To put it simply, ectopic pregnancy means that the egg grows and develops outside the uterus. If a pregnant woman feels unbearable abdominal pain in the early stages of pregnancy, it is time to go to the hospital for a check-up, as it may be caused by an ectopic pregnancy. Ectopic pregnancy can also cause heavy bleeding in pregnant women, and severe bleeding may endanger the life of the pregnant woman. So you must go to the hospital for treatment. Here I will tell you about the best treatment for ectopic pregnancy.

Surgery

Open or laparoscopic surgery is possible.

(1) For patients with severe internal bleeding and shock, surgical rescue should be performed while actively correcting the shock and replenishing blood volume. The abdominal cavity was opened quickly, the diseased fallopian tube was brought out, the mesosalpinx was clamped with an oval forceps to quickly control bleeding, the infusion was accelerated, and the operation was continued after the blood pressure rose.

(2) Surgical procedure: Routine salpingectomy on the affected side is performed. Young women who want to have children can undergo conservative surgery. Depending on the site of implantation of the fertilized egg, the fallopian tube can be incised to remove the embryo and then opened after local suture or electrocoagulation to stop bleeding, or the fimbria can be squeezed out to remove the embryo to preserve the function of the fallopian tube. Careful observation should be made during the operation and attention should be paid to monitoring vital signs and abdominal condition after surgery. Blood β-HCG should be checked 24 hours, on the 3rd day, and on the 7th day after surgery. If the decrease is not satisfactory, methotrexate or traditional Chinese medicine should be used to prevent the occurrence of persistent ectopic pregnancy. Thereafter, blood β-HCG should be checked every week until it returns to normal. Those who wish to be sterilized can have the contralateral fallopian tube tied at the same time.

(3) Autologous blood transfusion is one of the effective measures to rescue ectopic pregnancy, especially when there is a lack of blood source. The recovery of intra-abdominal blood must meet the following conditions: pregnancy less than 12 weeks, unruptured fetal membranes, bleeding time of 24 hours, uncontaminated blood, and microscopic red blood cell destruction rate of 30%; each time 100ml of blood is transfused, add 10ml of 3.8% sodium citrate for anticoagulation, and the blood can be transfused back into the body after being padded with 6 to 8 layers of gauze in a transfusion funnel or filtered through a 20μm microporous filter; 400ml of autologous blood transfusion should be supplemented with 10ml of 10% calcium gluconate.

The above is the relevant content about the best treatment for ectopic pregnancy. I hope it can help everyone. When a pregnant woman is diagnosed with an ectopic pregnancy, she must go to the hospital for treatment in time, because the longer the ectopic pregnancy is delayed, the greater the harm to the pregnant woman, and in severe cases it may even lead to the death of the pregnant woman! At this time, it is also very important for family members to encourage pregnant women. I hope every patient with ectopic pregnancy will be healthy in the end!