What should be done tubal pregnancy check

A B-ultrasound images ultrasound as a diagnostic technique is simple and strong visual damage to the human body can be repeated inspections without the advantages of ultrasound images but complex inspection personnel to the technology and experience a greater disparity between the rate of misdiagnosis 9.1%

(A) intrauterine Images: intrauterine pregnancy with no fetal sac and fetal heart rate shoot the original pulse but false pregnancy sac plans sound like a rate of about 20 percent of pregnancy caused by endometriosis and uterine decidual within a small amount of storage General outline of the blood levels are not completely unclear edge is not structured weeks pregnant with no increase sometimes it can narrow the careful observation of the identification

(B) Gongpang mass and / or rectum Xianao uterine fluid characteristics: Mass General is the heart of pregnancy sac around the hematoma and the intestinal adhesion formed by climbing

1 tubal pregnancy before the rupture in the form of irregular Gongpang see a fuzzy edge of the low echo of pregnancy sac to a certain extent foreseeable in the region echo the low round or oval-shaped capsule pregnancy dark areas may even see a few cases of Bud and capsule inner tube Fetal heart throb for the original diagnosis of ectopic pregnancy conclusive evidence it was reported that the former accounted for 20% of fetal heart throb, 12 per cent

2 abortion tubal pregnancy occurred when blood from the umbrella-tubal Gongpang mass outflow in the uterus and rectum Xianao, to see a small amount of liquid was not free or low-echo echo dark area

3 ruptured tubal pregnancy occurred when the capsule as tubal pregnancy escaped early break due to bleeding Gongpang that high-echo echo within the mass distribution of disorder enhanced echo packets in pregnancy sac hematoma in a very small number of cases may even see the pregnancy sac echo can be seen and fetal bud If the original fetal heart throb repeatedly broken a long time break bleeding form of increased internal echo Gongpang mass disorder reflecting varying intensity seen on the edge of thickening of the old ectopic pregnancy

(C) of the Department of tubal pregnancy in Yunluan perforation into the muscle before the pregnancy sac that was wrapping the thickened muscle in his voice as rudimentary horn and uterine pregnancy more difficult to identify similarities between

The determination of hCG in the technical HCG past 10 years have been greatly improved application of hCG β subunit RIA correctly in early pregnancy diagnosis of ectopic pregnancy for a better way of the villi Fitness cell secretion of hCG extremely thin because of tubal mucosa muscle cells can not supply the necessary nutrition villi ectopic pregnancy in the plasma β-hCG concentration lower β-hCG RIA method can be measured with the existence of the ninth day Yunluan Whether in the normal early pregnancy every 1.2 to 2.2 days β-hCG increased 100 percent and 86.6 percent of ectopic pregnancy and its slow doubling time of their β-hCG also lower than the absolute value of pregnancy

After three puncture dome for the current diagnosis of ectopic pregnancy broad application of the method for taking such as septic or serous liquid can be ruled out but failed tubal pregnancy out of the liquid can not be ruled out tubal pregnancy such as mass hard not easy to extract the contents of time before the puncture First injection of saline can be a little more suction Huichou such as the brine was mixed with a small reddish-brown blood clots can be proved to be the old hematoma such as the taking of blood in the vein of misuse penetration while placing a short period of time after the blood coagulation tubal pregnancy Those which result of condensate

To further enhance the dome after the diagnosis of puncture after the dome will also puncture blood and peripheral blood for testing to slow down the former ESR for thrombocytopenia reliable basis regardless of abortion suppression ruptured tubal pregnancy as well as of their attack after the long suspense puncture blood fornix The ESR slow significantly slower average 12.1 mm; platelet also significantly reduced the average 100,000 fewer errors and contrary to wear and peripheral vascular blood vessels and blood platelet ESR almost exactly the same

Four laparoscopic general ectopic pregnancy can be confirmed by the inspection is not a typical case of application of laparoscopy value of ectopic pregnancy can be observed in detail the location and the surrounding organs and the relationship between the state of adhesion and in some cases surgery may be at the same time

Laparoscopic see: a tubal pregnancy implantation site tumor-like surface was dark Chisepenglong vascular proliferation Nuzhang such as intra-abdominal bleeding dark vision of the attachment block blood coagulation has observed slightly difficult pregnancy implantation of the abdominal cavity can be used when fully saline wash Clear vision so that the net easily observed at the same time of implantation sites can be intra-abdominal blood clot and rapid absorption of the net to ensure good vision

Five diagnostic curettage with the diagnosis of endometrial curettage to observe changes and not only see decidual villi can exclude intrauterine pregnancy

In addition, ectopic pregnancy was atypical endometrial hyperplasia similar to the change of endometrial cancer, accounting for about 10 to 25 percent gland was a high degree of bending Ju Chizhuang cytoplasm-nuclear dense foam with uneven like excessive secretion of the womb Membrane that is the so-called A Ruisi - Staten reaction out there is a certain diagnosis of patients with treatment but many have a longer period of time endometrial or uterine bleeding has been restored to the status of non-pregnancy is diagnostic curettage for the diagnosis of ectopic pregnancy have great limitations Of

6 Hysterosalpingography lipiodol contrast used in tubal pregnancy diagnosis must have a certain value that is not broken in the fallopian tubes to the uterus before the lipiodol contrast have the following characteristics:

(A) of the uterus like a flaccid expansion from the original triangle into a spherical

(B) can not see the neck as

(C) removal of the catheter lipiodol imaging contrast agent is not out of

More than 3:00 and intrauterine pregnancy lipiodol contrast, as the same and have the following characteristics and different intrauterine pregnancy

(A) no implantation in the uterus, as the Department of defects as

(B) intrauterine rugged edge