异位妊娠误诊144例临床分析  

Clinical analysis on 144 missed cases of ectopic pregnancy

作　　者：戴吉茹[1] 王蕊[1] 金丽萍[1] 魏静[1] 

机构地区：[1]首都医科大学附属北京天坛医院妇产科,北京100050

出　　处：《中国妇幼保健》2009年第19期2631-2633,共3页Maternal and Child Health Care of China

摘　　要：目的:提高异位妊娠诊断的准确率,加强对外地来京育龄妇女的健康教育。方法:对1988年1月～2007年12月20年间在北京天坛医院妇科病房住院治疗的1122例异位妊娠患者的临床资料进行回顾性分析,并对其中144例误诊病例进行相关资料的统计比较。结果:误诊胃肠炎16例,阑尾炎9例,胆囊炎1例,妇科疾病118例(保胎治疗27例,不全流产行清宫术16例,早孕行人流或药流34例,盆腔炎30例,恶性肿瘤2例,月经失调9例)。结论:近10年异位妊娠发生率明显升高,尤其是外来人口的异位妊娠发生率明显高于本市人口,但误诊率没有明显变化,其中异位妊娠误诊为妇科疾病的发生率最高。因此详细询问病史,仔细分析病情变化,充分认识不典型异位妊娠的各种表现,结合B超、HCG及后穹窿穿刺等辅助检查可提高诊断准确率。Objective： To improve the accuracy of ectopic pregnancy diagnosis, enhance the healthy education of women of child -bearing age from other places. Methods： Clinical data of 1 122 women with ectopic pregnancy from January 1988 to December 2007 were analysed retrospectively, 144 missed cases were analysed. Results： 144 missed cases included 16 cases of gastroenteritis, 9 cases of appendicitis, 1 case of cholecystitis, 118 cases of gynecological diseases （27 cases of expectant treatment, 16 cases of incomplete abortion, 34 cases of induced abortion, 30 cases of pelvic inflammation, 2 cases of malignant tumor, 9 cases of irregular menstruation） . Conclusion： The incidence of ectopic pregnancy increased in the past 10 years, especially women from other places; clinical symptoms, B -ultrasound, HCG level and culdocentesis may increase the accuracy of diagnosis.

关 键 词：异位妊娠 误诊 妇科疾病 

分 类 号：R714.22[医药卫生—妇产科学]