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多数宫外孕患者由于血液动力学情况稳定,典型的三大症状疼痛,出血和包块的发生率仅30～40%,不足以诊断。因此,需要有一种正确、实用和无需手术的诊断方法。盆腔感染、卵巢囊肿扭转或破裂、子宫内膜异位症、早期自然流产和宫外孕非常相似。自1981-1982年14个月中,在作者单位有81例症状、体征可疑宫外孕。患者有急性严重体征需要急诊手术者不包括在内。经询问病史和查体后常规作β-HCG,当盆腔检查不满意或β-HCG阳性时才作盆腔超声图。β-HCG<35mIU/ml为阴性,>35mIU/ml为阳性。和LH的交叉反应<0.5%。
Most ectopic pregnancy patients due to hemodynamic stability, the typical three major symptoms of pain, bleeding and mass incidence of only 30 to 40%, not enough to diagnose. Therefore, there is a need for a correct, practical and surgical-free diagnosis. Pelvic infection, ovarian cyst torsion or rupture, endometriosis, early spontaneous abortion and ectopic pregnancy are very similar. During the 14 months from 1981 to 1982, there were 81 patients with suspected symptoms and signs of ectopic pregnancy. Patients who have acute and severe signs requiring emergency surgery are excluded. After asking the medical history and physical examination for routine β-HCG, when the pelvic examination is not satisfied or β-HCG positive for pelvic ultrasound. β-HCG <35mIU / ml is negative,> 35mIU / ml is positive. Cross-reactivity with LH <0.5%.