Journal of International Reproductive Health/Family Planning ›› 2014, Vol. 33 ›› Issue (2): 131-135.

• 综述 • Previous Articles     Next Articles

Progress of Early Diagnosis and Treatment of Tubal Pregnancy

LI Chang-dong,ZHANG Wei-yuan   

  1. Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-03-15 Online:2014-03-15
  • Contact: ZHANG Wei-yuan

Abstract: Tubal pregnancy,the most common ectopic pregnancy, has a increased incidence in recent years. However, the mortality trends to decrease mainly due to early diagnosis and treatment before rupture. Vaginal ultrasound examination combined with serum levels of hCG and progesterone can help early diagnosis of tubal pregnancy. The treatment outcomes can be improved by timely prediction of ectopic pregnancy for those patients with indistinct position of embryonic implantation. Serum levels of β-hCG,progesterone and CA125 are useful to predict the outcomes of tubal pregnancy and helpful to select a suitable therapy. Laparoscopic surgery and medical treatment are main methods for treatment of ectopic pregnancy. According to indications,these two kinds of conservative methods could obtain good effect and fertility preservation. In this article,the early diagnosis and treatment of tubal pregnancy were reviewed.

Key words: Pregnancy, tubal, Ultrasonography, prenatal, Chorionic gonadotropin, beta subunit, human, Progesterone, CA-125 antigen