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目的通过对异位妊娠误诊情况回顾分析,旨在提高异位妊娠早期诊断率。方法对1990年8月至2008年8月在我院诊治的102例异位妊娠误诊情况进行回顾分析,查找误诊原因,研究及时诊断方法。结果102例患者中误诊为先兆流产、功能失调性子宫出血、盆腔炎、药物或人工流产术后反应、急性阑尾炎、宫内节育器的副反应、胃肠炎及其它疾病分别占67.8%、7.8%、5.9%、3.9%、2.9%、2.9%、2.9%及5.9%。结论分析异位妊娠复杂多样的临床表现,结合B型超声和血-HCG测定,有助于异位妊娠早期诊断。
Objective Through retrospective analysis of misdiagnosis of ectopic pregnancy, aims to improve the early diagnosis of ectopic pregnancy. Methods A retrospective analysis of misdiagnosis of 102 cases of ectopic pregnancy diagnosed and treated in our hospital from August 1990 to August 2008 was conducted to find out the causes of misdiagnosis and study the method of timely diagnosis. Results 102 cases were misdiagnosed as threatened abortion, dysfunctional uterine bleeding, pelvic inflammatory disease, postoperative drug or induced abortion reaction, acute appendicitis, intrauterine device side effects, gastroenteritis and other diseases accounted for 67.8%, 7.8 %, 5.9%, 3.9%, 2.9%, 2.9%, 2.9% and 5.9%. Conclusion The analysis of complex and diverse clinical manifestations of ectopic pregnancy, combined with B-mode ultrasound and blood-HCG determination, is helpful for the early diagnosis of ectopic pregnancy.