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目的探讨异位妊娠误诊的原因,提高早期诊断水平。方法对2003年～2009年在我院收治的异位妊娠189例,其中19例异位妊娠误诊做回顾性分析,寻找导致误诊的因素。结果 19例病例中,误诊为宫内早期妊娠6例,先兆流产3例,急性阑尾炎4例,盆腔炎2例,黄体破裂1例、卵巢囊肿扭转1例,急性胃肠炎1例,子宫内膜炎1例。结论掌握科学的临床思维方式、重视病史采集、妇产科急腹症和早孕疑似病例动态观测血HCG和阴超检测综合分析是降低异位妊娠漏诊率和误诊率的关键。
Objective To investigate the causes of misdiagnosis of ectopic pregnancy and improve the level of early diagnosis. Methods 189 cases of ectopic pregnancy admitted to our hospital from 2003 to 2009 were retrospectively analyzed in 19 cases of misdiagnosis of ectopic pregnancy to find out the factors leading to misdiagnosis. Results 19 cases were misdiagnosed as intrauterine early pregnancy in 6 cases, threatened abortion in 3 cases, acute appendicitis in 4 cases, pelvic inflammatory disease in 2 cases, luteal rupture in 1 case, ovarian cyst torsion in 1 case, acute gastroenteritis in 1 case, intrauterine Membranous inflammation in 1 case. Conclusions It is the key to reduce the rate of misdiagnosis and misdiagnosis of ectopic pregnancy by mastering scientific way of clinical thinking, paying attention to the history collection, obstetrics and gynecology acute abdomen and early pregnancy suspected cases dynamic observation.