Jul 31, 2008

Tubal pregnancy harm the

Tubal pregnancy mainly to lower abdominal pain, bleeding, nausea and vomiting, and other menopause symptoms of early pregnancy. Often cervical tenderness, abdominal tenderness, fluid within the abdominal cavity and accessories, such as mass performance. Early pregnancy laboratory tests positive. Ruptured tubal pregnancy can be a severe pain, stiffness and anti-Tiaotong abdominal wall, or even because of internal bleeding caused shock.

Tubal pregnancy accounts for about 97 percent of ectopic pregnancy. According to statistics, 80 percent of tubal pregnancy in the ampulla, 13 percent in the isthmus, five percent in the Department of umbrella-or funnel, and the remaining in the mesenchymal Department. Bilateral tubal pregnancy more than 150 cases have been reported, and tubal pregnancy and intrauterine simultaneous report has been over 500 cases.

Clinical manifestations of tubal pregnancy mainly to lower abdominal pain, bleeding, nausea and vomiting, and other menopause symptoms of early pregnancy. Often cervical tenderness, abdominal tenderness, fluid within the abdominal cavity and accessories, such as mass performance. Early pregnancy laboratory tests positive. Ruptured tubal pregnancy can be a severe pain, stiffness and anti-Tiaotong abdominal wall, or even because of internal bleeding caused shock. Patients often have a number of years prior to the onset of the history of infertility, ectopic pregnancy or chronic Salpingitis history.

Pathological changes

[Disease] seized huge tubal local thickening was oval, congestive serosal surface. Flock to infiltration ruptured tubal wall until the wall, and some cases because of bleeding obvious that the breakdown in the embryo before the child has already died.

[Examination] within the fallopian tube mucosa stromal cells can be a small nested distribution of decidual reaction, but not endometrial changed significantly change the decidua kind. No placenta attached to the mucous membrane of the villi, there are clear edema and congestive Duoliang neutrophil infiltration. In the attachment of the placenta or blood clots in the cavity detection villi or nourishment of the cells, diagnosis of ectopic pregnancy is the most direct evidence. Some cases of fetal death and not accompanied by bleeding, breakdown of the villi in fiber degeneration. Pathology can be found sclerosis and glass-like degeneration of the villi, secondary and calcification of the fetus Ganshi may also appear, at this time of pregnancy tests to be negative.

Tubal pregnancy abortion, tubal pregnancy in part sometimes chorionic villi can not find nourishment of the cells. But the wall is clear congestion, swelling, neutrophil infiltration and a small amount of cellulose-like necrotic tissue. Double-check submission of intra-abdominal blood clots, and often can be found degeneration of the villi.

Tubal pregnancy fetal mortality rate almost 100 percent, after a small number of patients to re-conceive, but in the possibility of bilateral tubal pregnancy increase.

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