特殊部位异位妊娠的误诊原因分析及防范方法  

Analysis on Cause of Misdiagnosis of Special-Site Ectopic Pregnancies and Its Guard Methods

作　　者：张金玲 杨菊芳 邵茵 王莉菲 

机构地区：[1]暨南大学第二附属医院深圳市人民医院妇科,广东深圳518020

出　　处：《中国误诊学杂志》2007年第28期6720-6722,共3页Chinese Journal of Misdiagnostics

摘　　要：目的：探讨特殊部位异位妊娠的临床特点、误诊原因及防范方法,以降低误诊率。方法：对我院2003-01-2007-04间106例特殊部位异位妊娠进行回顾性分析。结果：特殊部位异位妊娠占同期异位妊娠的4.48%,误诊率63.21%。误诊的主要原因有：临床症状不典型、病史询问及体检欠仔细、对特殊部位异位妊娠的临床表现认识不足、忽视绝育术后或放环者异位妊娠的可能性、辅助检查的错误提示。结论：应提高对特殊部位异位妊娠的警惕性及认识,以早期诊断和治疗,降低误诊率及死亡率。Objective：To explore the clinical characteristics and misdiagnosed reasons and guard methods of special-site ectopic pregnancies,and to decrease the misdiagnosis rate.Method：106 cases of special-site ectopic pregnancies were analyzed retrospectively during the period of Jan.2003 to Apr.2007.Result：The special-site ectopic pregnancies accounted for 4.48% of all ectopic pregnancies during this period,the misdiagnosis rate was 63.21%.The main misdiagnosed reasons were atypically clinical symptoms、uncareful inquiry of the medical history and the physical examination、neglect the possibility of the special-site ectopic pregnancies which after the sterilization technique or contraceptive ring、insufficient understanding of its clinical manifestation and the false cues of auxiliary examination.Conclusion：The recognition of specific ectopic pregnancies must be enhanced in order to diagnose and treat it early,which can decrease the misdiagnosis rate and death rate.

关 键 词：妊娠 异位/诊断 早期诊断 误诊 人类 

分 类 号：R714.22[医药卫生—妇产科学]