Extrauterine examination is the key to confirming the diagnosis

To confirm ectopic pregnancy, using data is the only convincing way. Ectopic pregnancy is an abnormal pregnancy phenomenon. If it is not discovered in time, it may be life-threatening for patients with ectopic pregnancy. So, the following are the examination items for ectopic pregnancy;

Ectopic pregnancy examination items

1. Ultrasound diagnosis: Using ultrasound to detect the gestational sac and fetal heartbeat is very important for diagnosing ectopic pregnancy. If the pregnancy is located outside the uterus, it can be diagnosed as ectopic pregnancy; if the gestational sac is located inside the uterus, ectopic pregnancy can be ruled out. It is an important aspect of the examination of ectopic pregnancy.

2. Posterior fornix puncture: Since blood in the abdominal cavity is most likely to accumulate in the rectouterine pouch, even if the amount of blood is not large, it can be sucked out through the posterior fornix puncture. Use an 18-gauge long needle to pierce the posterior fornix of the vagina into the rectouterine pouch and draw out dark red non-coagulated blood. This is a positive result, indicating the presence of intra-abdominal blood.

3. 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 relatively normal and low during 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 detection.

4. Endometrial pathological examination: Diagnostic curettage is only suitable for patients with heavy vaginal bleeding. The purpose is to rule out intrauterine pregnancy. Uterine discharge should be routinely sent for pathological examination. If villi are seen in the section, intrauterine pregnancy can be diagnosed. If only decidua is seen without villi, although ectopic pregnancy should be considered, it cannot be confirmed yet.

Based on the above, you should have an idea of ​​the examination items for ectopic pregnancy! Experts kindly remind you that if patients have a certain understanding of how to check for ectopic pregnancy, it can play a positive role in the discovery and treatment of ectopic pregnancy.

Ectopic pregnancy http://www..com.cn/fuke/gwy/