特殊部位异位妊娠26例临床分析  

Clinical feature of 26 cases of specific ectopic pregnancies

作　　者：王红彬[1] 王建六[2] 

机构地区：[1]中国辐射防护研究院附属医院妇产科,太原030006 [2]北京大学人民医院妇产科

出　　处：《山西医科大学学报》2006年第4期408-410,共3页Journal of Shanxi Medical University

摘　　要：目的探讨特殊部位异位妊娠的临床特征及误诊原因。方法回顾26例特殊部位异位妊娠的临床资料。结果特殊部位妊娠发生率占同期收治异位妊娠的6.03%,误诊率52.69%。宫角妊娠子宫不对称性增大,宫颈妊娠以无痛性反复阴道出血为主要特征,忽略了瘢痕妊娠行人工流产时可发生致命大出血,卵巢妊娠术前不易确诊。结论特殊部位异位妊娠因其妊娠部位不同,临床表现不典型,应详询病史,仔细查体,结合-βHCG、B超等进行综合分析,以避免误诊。Objective To investigate the clinical charaeteristies and misdiagnosis cause of specific-site eetopic pregnancies. Methods Twenty-six cases of specific-site eetopie pregnancies were analysed retrospectively, Results This group accounted for 6.03 % of all ectopie pregnancies during this period. The rate of misdiagnosis was 52, 69%. Cornual pregnancy presented unsyminetrical uterus enlargement, Painless vaginal reettrrent bleeding was main clinical manifestation in cervical pregnancy, For misdiagnosed cesarean scar pregnancies, profuse bleeding occurred during dilation and curettage （D and C）, It was difficult to diagnose ovarian pregnancy prior to surgical exploration. Conclusion The clinical features of special-site eetopie pregnancy is not typical, To avoide the misdiagnosis, It is necessary to detail history,have a physical examination carefully and analyse comprehensively and together with measuring β-HCG and B-ultrasounography and etc.

关 键 词：妊娠 异位 临床方案 诊断 

分 类 号：R714.2[医药卫生—妇产科学]