Ectopic Pregnancy Symptoms, Causes, Examinations, and Treatment
宫外孕是指妊娠囊着床于子宫腔以外的其他位置，90%的宫外孕属于输卵管妊娠。
北京安太医院治疗宫外孕可进行3D腔镜下开窗取胚，宫外宫内转移，继续妊娠娠。不切输卵管，同时寻找病因去除之！
Ectopic pregnancy refers to the gestation sac implanted in other locations outside the uterine cavity, 90% of ectopic pregnancy are tubal pregnancy.
宫外孕症状
Ectopic Pregnancy Symptoms
宫外孕常见症状有急性腹痛，短期闭经及不规则点滴阴道流血，且多有原发或继发不孕史;检查时患侧输卵管胀大压痛;内出血多时，则出现失血性休克。对诊断仍可疑者，可采用辅助检查方法进行诊断。
The common symptoms of ectopic pregnancy are acute abdominal pain, short term amenorrhea and irregular vaginal bleeding, and most of the patients has primary or secondary infertility history. One side of fallopian tubes may experience distended and tender during examination; the patient will have hemorrhagic shock while internal bleeding occurs. Auxiliary examination method can be used for diagnosis if the patient still has suspicion.
宫外孕病因
Ectopic Pregnancy Causes
宫外孕输卵管因素原因有:输卵管通而不畅，输卵管盆腔粘连，输卵管畸形，输卵管脂肪垂，付输卵管，输卵管息室，输卵管伞端残缺等;子宫因素有：子宫纵隔，子宫腔轻度粘连和子宫节育环等;盆腔因素有：盆腔粘连，过度肥胖，盆腔腹膜缺损等。这些病因都可以在宫外孕手术同时取出之，避免下次妊娠重蹈覆辙。
The fallopian tube ectopic pregnancy factors are tubal blockage, tubal pelvic adhesion, tubal malformation, tubal fat sag, extra fallopian tube, incomplete fimbriae, etc. The uterus factors are uterine mediastinum, mild intrauterine adhesion, IUD, etc. The pelvic factors are pelvic adhesion, overweight, pelvic peritoneal defects, etc. To avoid any more ectopic pregnancies, all of these factors can be treated with ectopic pregnancy at the same time.
宫外孕检查
Ectopic Pregnancy Examinations
有性生活史，尿妊娠试验阳性(或血HCG超标)，阴道四维彩超未在宫腔内发现胎囊，高度怀疑;一周后仍然宫内无胎囊即可确诊。
The patient should be highly suspected as ectopic pregnancy if her urine pregnancy test is positive (or exceeding blood HCG), and the foetal sac was not discovered by vaginal 4D color ultrasound; the diagnosis should be confirmed one week later if there is still no foetal sac.
注意：无需在宫外找到妊娠囊，实际上也很难找到。更不要等到腹痛和盆腔出血，那时已经晚了;很多人根本没有明显闭经史。
Notes: it’s actually hard to find the foetal sac, so you shouldn’t expect to find one. Do not wait until abdominal pain and pelvic bleeding occurs, because it will be too late; most patients don’t have significant amenorrhea at all.
宫外孕治疗
Ectopic Pregnancy Treatment
北京安太医院3D微创技术治宫外孕，不开刀不切除输卵管保留生育能力, 将胚胎移入宫内胚胎继续生长，同时治疗宫外孕病因以免重蹈复辙! 腹壁美观无瘢痕，无创伤！
The minimally invasive technology of treating ectopic pregnancy at Beijing Antai Hospital doesn’t require laparotomy and salpingectomy to reserve fertility, the embryo can be transferred into the uterine cavity to continue pregnancy. The causes of ectopic pregnancy will be treated at the same time to avoid recurrence. The patient’s abdomen will be perfect with no scars and no traumas.
A.一大创新——3D腹腔镜下输卵管开窗取胚保管术，保留生育能力同时可查清宫外孕的病因;
No. 1 innovation is to extract embryo under 3D laparoscopy without salpingectomy, the cause of ectopic pregnancy can be determined while preserving patient’s fertility;
B.二大创新——3D腹腔镜下取胚植入宫内继续妊娠是医院拯救宫外孕患者的又一大创新举措;
No. 2 innovation is to extract embryo under 3D laparoscopy and to transfer the embryo into uterine cavity to continue pregnancy;
C. 三大创新——腹腔镜虽微创，但腹部仍留下三个小疤，美中不足，经阴道前穹窿进镜下取出胚胎妙不可言!这是陈凤林第200项创新手术!-也是宫外孕取胚宫内手术继续妊娠续篇。
No. 3 innovation is the abdomen still leaves 3 small scars even the laparoscopy is minimally invasive, embryo extraction through vagina is a wonderful technique. It is the 200th innovative operation of Dr. Fenglin Chen, it’s also the sequel of embryo extractive surgery to continue pregnancy.
北京安太医院陈凤林教授指出：曾经有过宫外孕史的患者在下次怀孕前应做动态数字化子宫输卵管碘油造影、四维彩超以便估计宫外孕风险指数，有过宫外孕继发不孕的患者，北京安太医院通过输卵管“三镜一丝输卵管鼠”治疗达到怀孕的目的!
Dr. Fenglin Chen at Beijing Antai Hospital indicates that patients with a history of ectopic pregnancy should undergo dynamic digitization hsterosalpingography (HSG) and 4D color ultrasound to evaluate the risk index of ectopic pregnancy. And for patients with a history of secondary infertility, they can chose to undergo unique technique of tubal dredge to achieve pregnancy at Beijing Antai Hospital.