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孕卵在子宫以外着床为异位妊娠,可发生在输卵管卵巢、腹腔、阔韧带等处。其中的输卵管妊娠为最常见。异位妊娠破裂是妇产科常驻见急腹症。本文目的是提高异位妊娠的确诊率。方法回顾性分析我院2000年1月至2004年12月诊治的异位妊娠破裂209例。误诊19例占10.7%,均经手术治疗恢复良好,康复出院。结论分析误诊原因。①询问病例不仔细;②对曾有输卵管结扎可使用IVD者症状不甚严重又无停经史者误诊;③后穹隆穿刺不确定性;④B超误导。在异位妊娠诊断中应注意以下问题:①全面询问病史;②注意临床症状和体征;③各种辅助检查方法有临床价值也有局限性;④考虑疾病的相关因素。
Pregnant eggs implantation in the uterus for ectopic pregnancy, can occur in the ovarian tubal, abdominal cavity, broad ligament and so on. One of the most common tubal pregnancy. Ectopic pregnancy rupture is seen in obstetrics and gynecology resident acute abdomen. The purpose of this article is to improve the diagnosis of ectopic pregnancy. Methods A retrospective analysis of our hospital from January 2000 to December 2004 diagnosis and treatment of 209 cases of ectopic pregnancy rupture. 19 cases misdiagnosed accounted for 10.7%, were recovered by surgery, recovered and discharged. Conclusion Analysis of misdiagnosis reasons. ① ask the case is not careful; ② had tubal ligation can be used IVD less serious symptoms and no history of menopausal misdiagnosis; ③ after the dome of the puncture uncertainty; ④ B super misleading. In the diagnosis of ectopic pregnancy should pay attention to the following questions: ① a comprehensive history; ② pay attention to clinical symptoms and signs; ③ various auxiliary tests have clinical value and limitations; ④ consider the disease-related factors.