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目的探讨出血性输卵管炎的诊断要点及与异位妊娠的鉴别要点,减少误诊的发生。方法总结广西贺州市人民医院2005-2010年间收治15例出血性输卵管炎的临床资料,分析误诊的主要原因。结果本组15例中3例保守治疗;12例急诊手术误诊为异位妊娠。结论出血性输卵管炎临床表现与异位妊娠极相似,易误诊为异位妊娠,根据近期有宫腔操作及感染史、有无真正的停经史、穿刺抽得不凝血,结合B超及妊娠试验常可确诊。提高对出血性输卵管炎的认识、掌握诊断要点是减少误诊的关键。
Objective To investigate the diagnosis of hemorrhagic salpingitis and the main points of identification with ectopic pregnancy to reduce the occurrence of misdiagnosis. Methods The clinical data of 15 cases of hemorrhagic salpingitis in Hezhou People ’s Hospital of Guangxi from 2005 to 2010 were summarized and the main causes of misdiagnosis were analyzed. Results The group of 15 patients in 3 cases conservative treatment; 12 cases of emergency surgery misdiagnosed as ectopic pregnancy. Conclusion The clinical manifestations of hemorrhagic salpingitis and ectopic pregnancy very similar, easily misdiagnosed as ectopic pregnancy, according to the recent intrauterine operation and infection history, with or without real history of menopause, puncture is not clotting, combined with B ultrasound and pregnancy test Often diagnosed. Improve the understanding of hemorrhagic salpingitis, master the diagnostic points is to reduce the key to misdiagnosis.