Experts explain how to accurately diagnose ectopic pregnancy

Ectopic pregnancy is a gynecological disease that may cause the patient's death. Timely diagnosis of ectopic pregnancy is very important for the treatment of ectopic pregnancy, which can help patients control the deterioration of the disease in time. What are the common diagnostic methods for ectopic pregnancy ? The following is a discussion of the common diagnostic methods for ectopic pregnancy.

In general, the common diagnostic methods for ectopic pregnancy are:

1. Symptoms and signs: This is the most basic method for diagnosing ectopic pregnancy. Most patients have a history of amenorrhea, and sometimes a small amount of irregular vaginal bleeding may occur after amenorrhea. Rupture or miscarriage of ectopic pregnancy is common around 40 days of pregnancy, with severe pain in the lower abdomen. 10% of patients experience shoulder pain, which is caused by the reflex stimulation of the prostate nerve by the blood in the abdominal cavity.

2. Early pregnancy test: When the embryo is alive or the trophoblast cells are viable, the pregnancy test may be positive if the syncytial cells secrete HCG. Since the HCG level in patients with ectopic pregnancy is lower than that in normal pregnancy, the general HCG determination method has a low positive rate. A more sensitive β-HCG radioimmunoassay or monoclonal antibody enzyme-labeled method must be used for the diagnosis of ectopic pregnancy.

3. Ultrasound diagnosis: In the early stage of tubal pregnancy, B-ultrasound imaging shows an enlarged uterus, but the uterine cavity is empty and there is a low-echo area next to the uterus. This image is not the acoustic characteristic of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum of pregnancy must be ruled out. Ultrasound detection of the gestational sac and fetal heart rate is very important for the diagnosis of ectopic pregnancy. If the pregnancy is located outside the uterus, an ectopic pregnancy can be diagnosed. If the gestational sac is located in the uterus, ectopic pregnancy can be ruled out. B-ultrasound has important clinical significance for the diagnosis of ectopic pregnancy, and can show that one side of the uterine horn is protruding and the local muscle layer is thickened with an obvious gestational sac.

4. Endometrial pathological examination: It is also a common method for diagnosing ectopic pregnancy. Diagnostic curettage is only suitable for patients with heavy vaginal bleeding. The purpose is to rule out intrauterine pregnancy. The uterine cavity discharge should be routinely sent for pathological examination and slices. If villi are seen, it can be diagnosed as intrauterine pregnancy. If only decidua is seen without villi, although ectopic pregnancy should be considered, it cannot be confirmed.

The above is an introduction to the common diagnostic methods of ectopic pregnancy. I believe everyone has some understanding of this. Once you have an ectopic pregnancy, you must go to the hospital for treatment immediately to avoid irreversible consequences.