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目的:分析异位妊娠误诊原因,提高异位妊娠的诊疗水平。方法:将本院2009年1月―2013年12月收治的异位妊娠误诊病例做回顾性分析,寻找导致误诊的原因。结果:误诊为宫内妊娠先兆流产7例,误诊为盆腔炎3例,误诊为宫内妊娠3例,误诊为功能性子宫出血2例。结论:异位妊娠是妇产科常见的急腹症,若能早期诊断,及时处理,则预后良好。但症状不明显的病例却易被忽视,造成误诊。误诊的主要原因有:(1)对异位妊娠缺乏警惕性(2)未严格执行人工流产的操作规范;(3)粗心大意,病史询问不详细,体检不仔细,辅助检查不到位,或者过分依赖某一种辅助检查。
Objective: To analyze the causes of misdiagnosis of ectopic pregnancy and improve the diagnosis and treatment of ectopic pregnancy. Methods: A retrospective analysis of misdiagnosed cases of ectopic pregnancy in our hospital from January 2009 to December 2013 was conducted to find out the causes of misdiagnosis. Results: Misdiagnosed as intrauterine pregnancy threatened abortion in 7 cases, misdiagnosed as pelvic inflammatory disease in 3 cases, misdiagnosed as intrauterine pregnancy in 3 cases, misdiagnosed as functional uterine bleeding in 2 cases. Conclusion: Ectopic pregnancy is a common obstetrics and gynecology acute abdomen, if early diagnosis and timely treatment, the prognosis is good. However, the symptoms are not obvious cases are easily overlooked, resulting in misdiagnosis. Misdiagnosis of the main reasons are: (1) the lack of vigilance of ectopic pregnancy (2) did not strictly implement the practice of induced abortion (3) carelessness, medical history is not detailed, physical examination is not careful, auxiliary examination is not in place, or too much Rely on a kind of auxiliary examination.