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目的分析异位妊娠超声定位诊断的特点,误诊漏诊原因及预防策略。方法回顾分析2007年6月至2010年6月,我院收治的49例异位妊娠的影响资料,统计不同部位的异位妊娠例数和异位妊娠临床分型,并分析其各自特点。结果本组49例,超声正确诊断44例,占89.8%,超声漏诊5例,占10.2%;间质部、宫颈角、宫颈部、卵巢、腹腔各一例而漏诊。临床分型:囊胚样未破裂型15例,破裂型17例,流产型15例,陈旧型2例。结论超声检查可以提高异位妊娠定位准确率,并为临床治疗提供可靠依据。
Objective To analyze the characteristics of ultrasonic diagnosis of ectopic pregnancy, misdiagnosis and missed diagnosis and prevention strategies. Methods The data of 49 cases of ectopic pregnancy treated in our hospital from June 2007 to June 2010 were retrospectively analyzed. The number of cases of ectopic pregnancy and the clinical classification of ectopic pregnancy were calculated, and their respective characteristics were analyzed. Results The group of 49 cases, the correct diagnosis of 44 cases of ultrasound, accounting for 89.8%, 5 cases of ultrasound missed diagnosis, accounting for 10.2%; interstitial, cervical angle, cervix, ovary, abdominal a case of misdiagnosis. Clinical classification: blastocyst-like unruptured in 15 cases, rupture in 17 cases, 15 cases of abortion, old in 2 cases. Conclusion Ultrasound can improve the accuracy of ectopic pregnancy positioning, and provide a reliable basis for clinical treatment.