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目的分析4例妊娠合并恶性肿瘤的误诊经过及误诊原因,并探讨如何减少误诊率及漏诊。方法收集4例妊娠合并恶性肿瘤的临床资料,对诊治过程进行回顾性分析。结果 4例妊娠合并恶性肿瘤误诊为先兆早产1例,肾绞痛1例,腰椎良性病1例,早孕反应1例。除1例是直接活检确诊外,其余3例均通过影像学检查助诊。结论对妊娠合并恶性肿瘤认识不足、未及时行影像学检查以及对放射线的认识误区是误诊的主要原因。
Objective To analyze the causes of misdiagnosis and misdiagnosis of 4 cases of pregnancy complicated with malignant tumor and to explore how to reduce the misdiagnosis rate and misdiagnosis. Methods The clinical data of 4 pregnant women with malignant tumors were collected and the diagnosis and treatment were retrospectively analyzed. Results 4 cases of pregnancy complicated with malignant tumor misdiagnosed as threatened premature labor in 1 case, renal colic in 1 case, lumbar benign disease in 1 case and early pregnancy reaction in 1 case. Except for 1 case of direct biopsy, the other 3 cases were diagnosed by imaging examination. Conclusion The lack of understanding of pregnancy with malignant tumor, not timely imaging examination and misunderstanding of radiation is the main reason for misdiagnosis.