Diagnosis of ectopic pregnancy
Ultrasound: The following if these conditions should doubt whether there is the possibility of ectopic pregnancy
6 weeks of pregnancy (ie, ovulation 4 weeks after conception) is still not available from abdominal or vaginal ultrasound to see the pregnancy sac inside the uterus.
Blood, human chorionic hormone (β-hCG) than 1500mIU/mL, still unable to see the embryo sac from the vaginal ultrasound.
Can be seen outside the uterus pregnancy sac or embryo.
l pregnancy test showed positive reaction, but can not find the pregnancy sac in the womb and merge with extra-uterine fluid accumulation, that is, the phenomenon of internal bleeding.
Sequence of blood-human chorionic hormone (β-hCG) test: In general, if a normal pregnancy human blood β-hCG every 2 days will grow exponentially, if the results of blood every other two days the growth of β-hCG less than 66%, it should be suspected ectopic pregnancy possible.
Culdocentesis (culdocentesis): If there is rupture of ectopic pregnancy in the uterus behind the uterus – rectum lacuna blood clots may be generated, so by attending post-vaginal fornix puncture can suck the blood out of a black non-condensing determined hemorrhage diagnosis.
Uterine curettage expansion (D / C): If the patient has tested positive for pregnancy test, with persistent bleeding, ultrasound also can not find the embryo sac, you can remove uterine curettage uterus expanding organized within the laboratory, if in the womb can be found remnants of villi or embryonic tissue, which is an early abortion on behalf of the exclusion of the possibility of ectopic pregnancy.
Laparoscopic: You can directly check the fallopian tubes and other abdominal organs, the situation, if the ectopic pregnancy can also determine the way surgery. Applicable in stable condition, other tests are obviously suspected ectopic pregnancy patients.
Laparotomy: Direct surgery, are obviously applicable to inspection of suspected ectopic pregnancy, and the combined internal bleeding, the situation is urgent or unstable patients.