Clinical Study Of The Implantation Site For Graviditas Tubaria Ampullaris

ObjectiveThis article explores the implantation site of graviditas tubaria ampullaris, discusses the importance of joint monitoring blood β—h CG and CK to estimate implantation site. MethodFrom Dec. 2012 to Jan. 2014, 42 patients with acute internal hemorrhage were treated with emergency operation in Feicheng People’s Hospital. They were diagnosed as tubal pregnancy after type-B ultrasonic test and β—h CG test. The 42 patients were extracted venous blood to rate assay the CK, and HCG was quantitatively measured by chemiluminescence immunoassay. The 42 cases were divided into nearly mesangial edge group and the contralateral group according to the distance between implantation site and mesosalpinx. The general information includes: age, amenorrhea time, and all patients with complete clinical data. We chose unilateral tubal surgical resection(radical), filed ipsilateral fallopian tube along its mesentery direction as close as possible to uterine corner, resected of the lesion part and sent to pathology. It’s better to choose the normal tissue that is apart from embryonic tissue. All the specimens were soaked in 4% neutral formalin, fixed, then dehydrated, embedded in paraffin, sliced, stained, and observed carefully in the microscope to find trophoblastic cells and(or) villi. Then they were divided intonearly mesangial edge group and the contralateral group according to the distance between trophoblast cells and villi in the fallopian tube cross section and mesangial. ResultsThere is significant difference between the control group and the experimental group in the blood β—h CG、CK( Average P<0.01). There is no big difference in age, amenorrhea time for all the groups. ConclusionsJoint monitoring of blood β—h CG、CK plays an important role in estimating implantation site. The implantation site can be well estimitated according to blood β—h CG、CK before surgery, and during the surgery, we can straight into the implantation site, complete stripping of embryonic tissue, retain the integrity of the fallopian tube as far as possible, and reduce damage to a minimum. This will preserve the maximum function of the fallopian tubes, reduce postoperative complications and improve patient pregnancy rate.