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临床医生对输卵管妊娠的早期确诊,虽然现代各种检查方法有所进步,仍有困难。一般依据不正常阴道出血,下腹痛等自觉症状和触及附件肿块,子宫直肠窝穿刺液及子宫内膜所见而确诊;但临床病例多常与这些所见不一致,而不能确诊。Gruenberger等报导102例输卵管妊娠中,初诊即能确诊者48例(47%)。Sanders等也报导98例输卵管妊娠中,初诊时确诊者不过30%。最近应用超声波断层法鉴别胎囊在子宫腔中存在情况,应用腹腔镜是用肉眼观察输卵管的妊娠变化。从早期诊断的观点看这些方法有一定局限性,因此内分泌测定法仍重要。Gruenberger等报导用测定血中LH/HCG的新方法有利于早期诊断输卵管妊娠。
Clinicians early diagnosis of tubal pregnancy, although a variety of modern inspection methods have improved, there are still difficulties. Generally based on abnormal vaginal bleeding, abdominal pain and other symptoms and touch appendix lumps, uterine rectal litter puncture fluid and endometrial seen and confirmed; but clinical cases are often inconsistent with these findings, but can not be diagnosed. Gruenberger and other reports of 102 cases of tubal pregnancy, the first diagnosis that can be diagnosed in 48 cases (47%). Sanders, etc. also reported 98 cases of tubal pregnancy, newly diagnosed, but 30%. The recent application of ultrasonic tomography in identifying the presence of fetal sac in the uterine cavity, the use of laparoscopy is to visually observe the tubal pregnancy changes. These methods have some limitations from the point of view of early diagnosis, so endocrine assays are still important. Gruenberger et al reported using the new method for the determination of LH / HCG in blood is conducive to the early diagnosis of tubal pregnancy.