Check follow-up reports of ectopic pregnancy
How to be suffering from an ectopic pregnancy check-ups? Examination of ectopic pregnancy What are the methods? Author Tianlun infertility in Beijing learned the hospital at the current inspection methods are five kinds of ectopic pregnancy.
(A) Ultrasound diagnosis of early tubal pregnancy, B super-imaging shows the uterus increased, but the uterine cavity empty, Gongpang there is a low-echo area. Such images do not sound like features of ectopic pregnancy, should be excluded early intrauterine pregnancy associated with pregnancy, corpus luteum possible. Ultrasonic detection of pregnancy sac and fetal heart beat is very important in the diagnosis of ectopic pregnancy, such as ectopic pregnancy is located, can be diagnosed as extrauterine pregnancy; gestational sac in the uterus, is more of ectopic pregnancy can be ruled out. B ultra-early diagnosis of interstitial pregnancy has important clinical significance, can be displayed side of the uterine horn prominent, local muscle thickening, which has obvious pregnancy sac.
(B) of endometrial pathology, diagnostic curettage only applies to vaginal bleeding in patients with more purpose is to exclude intrauterine pregnancy. Uterine discharges should be routinely sent to pathological examination, sections, such as seen in hair can be diagnosed as intrauterine pregnancy, as only see decidua without villi, although the ectopic pregnancy should be considered, but not confirmed.
(C) the pregnancy test, embryo survival or the trophoblast cells have the vitality, the syncytial cells secrete hCG, pregnancy test can be positive. As the body of ectopic pregnancy in patients with hCG levels of lower than normal pregnancy, so the general determination of hCG, the positive rate low, to adopt the more sensitive β-hCG monoclonal antibody radioimmunoassay or ELISA testing.
(D) of the posterior vaginal fornix puncture, most likely due to the accumulation of intra-abdominal blood rectum pouch in the womb, even though much blood can also be sucked out through the posterior vaginal fornix puncture. With 18 long needle piercing the uterus from the vagina posterior fornix rectum pouch, out of dark red blood was positive for the results, stating the existence of hemoperitoneum.
(E) laparoscopy, conditional, and if necessary, laparoscopy can be used.
Women, the symptoms of ectopic pregnancy occurred in a timely manner after going to the hospital for examination, without delay, but can not be mistaken for other diseases which they can give her own prescription.