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本组年龄24～46岁,于输卵管结扎术后1～10_a患异位妊娠,有停经史者14例。主要表现:腹痛22例,转移性腹痛8例,恶心呕吐14例,轻度发热12例,阴道不规则流血4例。右下腹马氏点压痛15例,下腹压痛4例,全腹压痛3例,反跳痛14例,腹肌紧张10例。娄夫辛征阳性7例,腰大肌试验阳性5例,闭孔内肌试验阳性3例。误诊原因:①输卵管结扎术后因结扎线脱落或松解而再通。异位妊娠90％部位在输卵管,右侧居多(17例)。②将停经史误为月经不调,且1/3患者无停经史。本组17例没有显性外出血,也是误诊原因之一。③检查中发现与阑尾炎有关的一些体征,
The age group of 24 to 46 years old, tubal ligation 10 ~ 10a after ectopic pregnancy, there are 14 cases of menopause. Main performance: 22 cases of abdominal pain, 8 cases of metastatic abdominal pain, nausea and vomiting in 14 cases, mild fever in 12 cases, 4 cases of irregular vaginal bleeding. Right lower quadrant Ma point of tenderness in 15 cases, 4 cases of abdominal tenderness, total abdominal tenderness in 3 cases, 14 cases of rebound tenderness, 10 cases of abdominal muscle tension. Lou Fu Xin sign positive in 7 cases, psoas muscle test positive in 5 cases, obturator muscle test positive in 3 cases. Causes of misdiagnosis: ① tubal ligation due to ligation or loosening and recanalization. 90% of ectopic pregnancy in the fallopian tube, the right majority (17 cases). ② history of menopause mistaken for irregular menstruation, and 1/3 of patients without stop-stop history. This group of 17 patients without overt bleeding, but also one of the causes of misdiagnosis. ③ examination found some signs of appendicitis,