How to check for ectopic pregnancy?

How to check for ectopic pregnancy? Ectopic pregnancy refers to pregnancy outside the uterine cavity. Tubal pregnancy is the most common. Patients with ectopic pregnancy need to undergo some routine examinations. So how to check for ectopic pregnancy? This has become an important issue of concern to female friends. The examination methods for ectopic pregnancy are as follows:

Examination of ectopic pregnancy:

◆Ultrasound diagnosis: B-ultrasound imaging shows that the uterus is enlarged, but the uterine cavity is empty, and there is a low echo area next to the uterus. This image is not the acoustic feature of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum should be excluded. Ultrasound detection of gestational sac and fetal heart beat is very important for diagnosing ectopic pregnancy. B-ultrasound has important clinical significance for early diagnosis of interstitial pregnancy, which can show protrusion of one uterine horn, local thickening of the muscle layer, and obvious gestational sac inside.

◆Pregnancy test: When the embryo survives or the trophoblast cells are viable, the syncytial cells secrete hCG, and the pregnancy test may be positive. Since the hCG level in patients with ectopic pregnancy is lower than that in normal pregnancy, the general hCG determination method is used. This method is a good method for checking ectopic pregnancy.

◆Pathological examination of the endometrium: only applicable to patients with heavy vaginal bleeding. Uterine discharge should be routinely sent for pathological examination. If villi are seen in the slice, it can be diagnosed as intrauterine pregnancy. Although ectopic pregnancy should be considered, it cannot be confirmed.

◆Diagnostic curettage: When ectopic pregnancy cannot be ruled out, diagnostic curettage can be performed to obtain the endometrium for pathological examination. However, the endometrial changes in ectopic pregnancy are not characteristic, and can be manifested as decidual tissue, highly secretory phase with or without AS reaction, secretory phase and proliferative phase. This is also one of the methods for checking ectopic pregnancy.

◆Posterior fornix puncture: It is widely used to diagnose ectopic pregnancy. Blood can often be drawn out and does not coagulate after being placed, and there are small blood clots in it.

How to check for ectopic pregnancy? Experts suggest that women who experience abdominal pain and irregular vaginal bleeding after pregnancy should go to the hospital for examination in time. People who are concerned about ectopic pregnancy are advised to take preventive measures against ectopic pregnancy. If you have other questions about the examination of ectopic pregnancy, please consult our experts online or call for consultation.

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