Is there any hope of treating ectopic pregnancy with HCG600 after 35 days of pregnancy

Ectopic pregnancy treatment

The treatment principle for patients with ectopic pregnancy is mainly surgical treatment, followed by non-surgical treatment.

There are two surgical methods for surgical treatment. One is to remove the affected fallopian tube, which is a radical surgery that can be performed by laparotomy or laparoscopy; One is conservative surgery, which involves preserving the affected fallopian tubes.

1. Salpingectomy: If the fallopian tube is pregnant and has already given birth, salpingectomy is generally used, especially suitable for acute patients with internal bleeding and shock. If the condition is slow or conditional, laparoscopic surgery can be performed, and based on the condition of the opposite side of the fallopian tube and whether the patient has fertility requirements.

Pregnancy in the interstitial part of the fallopian tube should be treated with surgery before rupture to avoid potentially life-threatening bleeding. The surgery should involve a wedge shaped resection of the uterine horn and removal of the affected fallopian tube. If necessary, the uterus should be removed. Those who need to preserve reproductive function can remove the affected area and transplant the fallopian tube to the uterine corner. In case of interstitial pregnancy rupture, surgery should be carried out as soon as possible, usually at the same time of anti shock surgery. First clamp the pelvic funnel-shaped ligament and the uterine horn to stop bleeding, cut the interstitial pregnancy, and pay attention to adequate hemostasis and suture. Leave no gaps.

2. Conservative surgery for fallopian tubes (tubal preservation surgery): Suitable for young women with fertility requirements, especially those with obvious lesions in the opposite fallopian tube. Surgery should be selected based on the implantation site of the fertilized egg and the pathological changes in the fallopian tube. If it is an umbrella pregnancy, compression is feasible; Ampullary pregnancy salpingectomy and embryo resection; Excision of diseased segment of isthmus pregnancy and end to end anastomosis. If microsurgical techniques are used, the postoperative pregnancy rate can be improved. In addition to abdominal resection, conservative surgery can also be performed through laparoscopic examination.

Is there any hope for HCG600 at 35 days of pregnancy

At this point, it is recommended to undergo a B-ultrasound examination. If the attachment block is not large and HCG600 is present in more cases, you can treat it conservatively. From the perspective of blood value, the activity of embryos is relatively weak, and the chances of successful conservative treatment are relatively high. Traditional Chinese medicine and mifepristone can be taken orally according to the doctor's advice.