Ectopic pregnancy treatment have a variety of options, depending on the size of fertility requirements, ectopic pregnancy, location and the patient's physical condition, not Yo person to save patients' life under the premise of the maximum to preserve fertility.
Ectopic pregnancy treatment method includes: laparoscopic operation, drug therapy, open operation.
In order to tubal pregnancy as an example:
A, conservative treatment
If the ectopic pregnancy early fallopian tube has not rupture when diagnosed, and fertility requirements, drug therapy is the best choice, the harm to patients is small, easy to recover the body. But should not be used in those with planning requirements, because kill embryos in situ polarization, often caused by the obstruction of fallopian tube.
B, tubal window suture
The fallopian tube or oviduct rupture of unruptured ectopic pregnancy by laparoscopy in small, operation, incision tubal embryo, place, and then sutured, keep the tubal function, it is current advocate the best treatment for ectopic pregnancy.
C, resection of the fallopian tubes
The tubal rupture serious difficult to repair complicated by hemorrhagic shock, only laparoscopic or open excision of the affected oviduct, and may require a blood transfusion.
D, corpus luteum smash technique
Corpus luteum destroyed by the Institute of invention, is to use mechanical + drug for corpus luteum destruction, in vivo support pregnancy progesterone decreases, causing embryonic natural death Diao new technique. Indications: ectopic unruptured type, it is difficult to find parts or pregnancy, pregnancy is not conducive to the site operation resection ( cornual pregnancy and cervical pregnancy ). Advantage is not bunt pregnancy with local, do not cause bleeding during operation.
( L ) the laparoscopic method: after informed consent, preoperative oral mifepristone250mg, reliable anesthesia in laparoscopic diagnosis, pregnancy site, if not exactly a rupture, can find the corpus luteum, separating out, and reliable hemostasis; if has ruptured or is close to the rupture, adopt the fenestration suture. Daily postoperative monitoring of HCG and progesterone levels.
(2) vaginal B ultrasound interventional method: after informed consent, preoperative oral mifepristone250mg, reliable anesthesia, transvaginal B ultrasound puncture from corpus luteum, then injected ethanol5 ~ 10ml. Daily postoperative monitoring of HCG and progesterone levels.
Ectopic pregnancy after cure of pregnant again
In general, tubal resection, contralateral normal fallopian tube can be in normal pregnancy. But when the fallopian tube inflammation and connect and not free will to ectopic pregnancy. According to statistics, ectopic pregnancy after operation in 10% patients will be ectopic pregnancy; in recent years, with the improvement of the medical technology, implementation of conservative operation and on the contralateral fallopian tube reasonable treatment, recurrence rate has decreased. To prevent another ectopic pregnancy must pay attention to two problems:
( L ) after the fallopian tube radiography examination, if the assured Yang Ke pregnancy; if it is through but no smooth, postpone pregnancy.
(2) pregnancy after early B, check whether the ectopic pregnancy, in order to make early treatment.