Ectopic Pregnancy

   Ectopic pregnancy, commonly known as ectopic pregnancy, but in the womb also belongs to the phenomenon of cervical pregnancy ectopic pregnancy. In the hospital for examination, it is usually for an ectopic pregnancy symptoms such as abdominal examination and gynecological examination, in order to determine the type of ectopic pregnancy, and usually some supplementary examination, then what are the secondary inspections?

 An ultrasonic diagnosis. B-ultrasound diagnosis of ectopic pregnancy is especially common, vaginal B-ultrasound examination compared with abdominal B leave a higher accuracy.

 2HCG determination. Early diagnosis of ectopic pregnancy is an important way.

 3 culdocentesis. Harem gallery puncture for diagnosis of ectopic pregnancy has been widely used, can often be placed out after the non-coagulation of blood, of which a small blood clot. If you do not extract the liquid, we can not rule out the diagnosis of ectopic pregnancy.

 4. Diagnostic curettage. In the ectopic pregnancy can not be excluded, feasible diagnostic curettage technique to obtain endometrial pathological examination. However, ectopic pregnancy is not characteristic of endometrial changes, can be expressed as decidual tissue, accompanied by a high degree of secretion with or without reaction with A-S, secretory phase and proliferative phase variety. In patients with endometrial changes and whether the vaginal bleeding and vaginal bleeding related to the length of time. And thus rely solely on diagnostic curettage the diagnosis of ectopic pregnancy, has severe limitations.

 5 laparoscopy. In most cases, ectopic pregnancy patients by history, pelvic examination, serum β-HCG measurement, B ultrasonic examination immediately after the diagnosis of early ectopic pregnancy, but some of the more difficult diagnostic cases, carried out under direct vision during laparoscopic inspection, timely diagnosis, surgical treatment may be at the same time.

 6 progesterone. Ectopic pregnancy serum P level is low, but in five to 10 weeks of pregnancy is relatively stable, single measurement that is greater diagnostic value, although the normal and abnormal pregnancy serum P level there is overlap between them is difficult to determine the absolute threshold, but the serum P level below 10ng/m1 (RIA), often prompted abnormal pregnancy, its accuracy rate of 90% or so.

 7. Other biochemical markers. Grosskinsky such reports of ectopic pregnancy, elevated serum AFP levels, E2 levels low, both with serum HCG, progesterone co-determination in the detection of ectopic pregnancy is superior to individual determination.