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目的探讨异位妊娠误诊为早孕的原因并提出防范措施。方法对我院2006年1月～2010年3月收治的异位妊娠误诊为早孕行药物流产失败30例的临床资料进行回顾性分析。结果本组30例均依据停经史、尿β人绒毛膜促性腺激素(β-hCG)弱阳性或阳性或B超检查见宫内孕囊在诊所或基层医院诊断为早孕而行药物流产,后经阴道超声检查确诊为异位妊娠。本组25例成功手术治愈,5例保守治疗痊愈。结论详细询问病史,客观仔细、全面分析病情,完善医技检查,加强孕产卫生知识宣教是减少异位妊娠发生和误诊的关键。
Objective To investigate the causes of misdiagnosis of ectopic pregnancy as early pregnancy and propose preventive measures. Methods A retrospective analysis was performed on the clinical data of 30 cases of misdiagnosed as abortion during the first trimester in our hospital from January 2006 to March 2010. Results The group of 30 cases were based on the history of menopause, urinary β-human chorionic gonadotropin (β-hCG) weak positive or positive B-see intrauterine gestational sac in the clinic or primary hospital diagnosed as early pregnancy and medical abortion, after Transvaginal ultrasound confirmed ectopic pregnancy. The group of 25 cases of successful surgery, 5 cases of conservative treatment healed. Conclusions It is the key to reduce the incidence and misdiagnosis of ectopic pregnancy when asked in detail about the medical history, objectively and carefully, comprehensively analyzing the condition, perfecting the medical examination and strengthening the knowledge of maternal health.