对宫内妊娠合并子宫肌壁间妊娠误诊1例分析如下。1病历摘要女,42岁。主因“停经80d,人工流产术后33d,伴下腹坠痛3h”急诊来院。患者停经47d自测尿HCG阳性,要求人流来院就诊,阴式B超检查提示:宫内早孕、子宫前壁小肌瘤。门诊行B超监测下的无痛人工流产术,吸出组织见绒毛。术后阴道点滴出血不断,伴下腹隐疼,无房事。术后33d无诱因突然下腹剧烈坠痛, Misdiagnosis of intrauterine pregnancy with uterine muscle wall pregnancy in 1 case analyzed as follows. 1 medical record summary female, 42 years old. The main reason for “menopause 80d, induced abortion 33d, with abdominal pain 3h ” emergency to the hospital. Patients with menopause 47d self-test urine HCG positive, requiring flow to hospital, vaginal B-ultrasound tips: intrauterine pregnancy, uterine anterior small fibroids. Out-patient clinic B-monitoring of painless abortion, aspiration of tissue see villi. Vaginal drip bleeding after surgery, with lower abdominal pain, no sexual intercourse. After 33 days without a sudden abrupt abortion pain,