How to treat ectopic pregnancy

Ectopic pregnancy is a condition that may occur during a woman's pregnancy. It is very dangerous if a woman has an ectopic pregnancy because it requires surgery to treat. During the operation, it is likely to cause heavy bleeding in women, and the cost of ectopic pregnancy surgery is relatively expensive. If a woman has an ectopic pregnancy, it may also be a habitual ectopic pregnancy. So how should an ectopic pregnancy be treated?

If a woman suffers from an ectopic pregnancy, the sooner the better the treatment. When the ectopic pregnancy develops to a certain stage, it can cause miscarriage of the fallopian tube pregnancy or rupture of the fallopian tube pregnancy and internal bleeding. The fallopian tube muscles are weak and cannot contract and compress the blood sinuses like the uterus. If there is heavy bleeding, it can cause shock and even threaten life.

How to treat ectopic pregnancy

There are many options for the treatment of ectopic pregnancy, which depends on the desire for fertility, the size and location of the ectopic pregnancy and the patient's physical condition. For those who are unable to have children, the fertility can be preserved to the greatest extent possible while saving the patient's life. Treatments for ectopic pregnancy include: laparoscopic surgery, drug therapy, laparotomy

Take tubal pregnancy as an example:

1. Conservative treatment with drugs

If an ectopic pregnancy can be diagnosed in its early stages, before the fallopian tube ruptures, and the patient has no desire to have children, drug therapy is the best option, as it causes less harm to the patient and the body can recover more easily. However, it cannot be used for those who want to have children, because the killed embryos polarize in situ, often causing blockage of the fallopian tube.

2. Fallopian tube fenestration and suture

For ectopic pregnancy with unruptured fallopian tube or small rupture of fallopian tube, laparoscopic surgery is used to cut open the fallopian tube, remove the embryo, and then suture to maintain the function of the fallopian tube. This is the best treatment method for ectopic pregnancy advocated today.

3. Salpingectomy

For patients with severe fallopian tube rupture that is difficult to repair and accompanied by hemorrhagic shock, the affected fallopian tube can only be removed laparoscopically or openly, and blood transfusion may be required.

4. Corpus luteum destruction during pregnancy

The corpus luteum destruction procedure was invented by our hospital. It is a new procedure that uses a mechanical + drug method to destroy the corpus luteum of pregnancy, causing a sudden drop in the progesterone in the body that supports pregnancy, resulting in natural embryo death. The indications are: unruptured ectopic pregnancy, it is difficult to find the site of pregnancy, or the site of pregnancy is not conducive to surgical resection (cornual pregnancy and cervical pregnancy). The advantage is that the pregnancy site is not touched and intraoperative bleeding will not occur.

(l) Laparoscopic method: After informed consent, 250 mg of mifepristone is taken orally before the operation. Under reliable anesthesia, the location of pregnancy is confirmed under laparoscopy. If there is no rupture, the corpus luteum of pregnancy can be found, separated and removed, and bleeding can be stopped reliably. If it has ruptured or is close to rupture, fenestration and suture are performed. Monitor HCG and progesterone levels daily after surgery.

(2) Vaginal B-ultrasound intervention: After informed consent, the patient takes 250 mg of mifepristone orally before the operation. Under reliable anesthesia, the corpus luteum of pregnancy is removed by vaginal B-ultrasound puncture, and then 5-10 ml of anhydrous alcohol is injected. Monitor HCG and progesterone levels daily after surgery.