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目的探讨异位妊娠误诊的常见原因及对策。方法回顾我院2005年3月至2010年9月33例异位妊娠误诊患者,就其误诊原因做一分析。结果 20例异位妊娠被误诊的患者中,其中误诊为先兆流产4例(12.1),黄体破裂3例(9.1),早孕6例(18.2),月经不调5例(15.2),阑尾炎2例(6.1)。13例其他疾病被误诊为异位妊娠的患者中,首诊为阑尾炎2例(6.1),黄体破裂3例(9.1),子宫颈粘连3例(9.1),宫内早孕2例(6.1),绒癌3例(8.9)。根据患者病情分别行手术治疗,均痊愈出院,术后无明显并发症发生。结论对于怀疑异位妊娠的妇女,应仔细询问病史、详细查体、完善B超、动态血HCG等辅助检查后,考虑异位妊娠的可能,避免误诊。
Objective To investigate the common causes and countermeasures of misdiagnosis of ectopic pregnancy. Methods A retrospective study from March 2005 to September 2010 33 cases of misdiagnosis of patients with ectopic pregnancy, misdiagnosis of their causes to do an analysis. Results Among 20 patients with misdiagnosis of ectopic pregnancy, misdiagnosed as threatened abortion in 4 cases (12.1), luteal rupture in 3 cases (9.1), early pregnancy in 6 cases (18.2), irregular menstruation in 5 cases (15.2), appendicitis in 2 cases (6.1). Of the 13 patients who were misdiagnosed as ectopic, the first diagnosis was appendicitis in 2 (6.1), luteal rupture in 3 (9.1), cervical adhesions in 3 (9.1), intrauterine pregnancy in 2 (6.1) Choriocarcinoma in 3 cases (8.9). According to the patient’s condition, respectively, surgical treatment, were cured and discharged, no significant postoperative complications. Conclusion For women suspected of ectopic pregnancy, history should be carefully asked, detailed examination, improve B ultrasound, dynamic blood HCG and other auxiliary examination, consider the possibility of ectopic pregnancy, to avoid misdiagnosis.