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目的:探讨特殊部位异位妊娠的临床特点、误诊原因和治疗方法。方法:对1998年1月~2006年1月在沈阳市第五人民医院治疗的33例特殊部位异位妊娠患者的临床资料进行回顾性分析。结果:特殊部位异位妊娠发生率是同期异位妊娠的5.03%,术前误诊率为87.88%。卵巢妊娠停经时间最短,腹腔妊娠停经时间最长,宫角妊娠破裂腹腔内出血较多。结论:特殊部位异位妊娠症状不典型,术前诊断困难,误诊率高,一旦破裂症状较重,应尽量早期诊断治疗。
Objective: To investigate the clinical features, misdiagnosis causes and treatment of ectopic pregnancy in special parts. Methods: The clinical data of 33 patients with ectopic pregnancy treated at the Fifth People’s Hospital of Shenyang from January 1998 to January 2006 were retrospectively analyzed. Results: The incidence of ectopic pregnancy in special sites was 5.03% in the same period of ectopic pregnancy and the preoperative misdiagnosis rate was 87.88%. Ovarian pregnancy shortest menopause, longest gestational cesarean section, intrauterine contractions uterine bleeding more. Conclusion: The ectopic pregnancy symptom of atypical part is not typical, it is difficult to diagnose before operation and the rate of misdiagnosis is high. Once the symptom of rupture is serious, diagnosis and treatment should be done as early as possible.