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目的:探讨异位妊娠的误诊原因及减少误诊的对策。方法:回顾性分析异位妊娠误诊21例患者的临床资料,查找误诊原因。结果:误诊率15.44%,院外误诊18例,院内误诊3例。所有病例经手术及病理证实,术后常规抗感染等治疗,均痊愈出院。结论:症状和体征的不典型,辅助诊断技术的不完善,临床医生经验缺乏,思维狭窄是造成误诊的主要原因。对病史、体征及辅助检查应做全面分析,提高对异位妊娠的警惕性是减少误诊的关键。
Objective: To explore the causes of misdiagnosis of ectopic pregnancy and to reduce the misdiagnosis measures. Methods: The clinical data of 21 patients misdiagnosed by ectopic pregnancy were retrospectively analyzed to find out the causes of misdiagnosis. Results: The misdiagnosis rate was 15.44%, 18 cases were misdiagnosed outside the hospital and 3 cases were misdiagnosed in the hospital. All cases were confirmed by surgery and pathology, postoperative conventional anti-infective therapy, were cured and discharged. Conclusion: Atypical symptoms and signs, imperfect auxiliary diagnosis techniques, lack of clinical experience and narrow thinking are the main reasons for misdiagnosis. A comprehensive analysis of the history, signs and auxiliary examinations should be made. Increasing the vigilance of ectopic pregnancy is the key to reducing misdiagnosis.