摘要
目的探讨1802例门诊拟诊异位妊娠病例的临床特征及结局,对照分析期间的50例非异位妊娠病例和51例确诊异位妊娠病例的特点,提高临床鉴别诊断水平,避免漏诊、误诊及过度治疗。方法本院2004年1月-2009年6月门诊拟诊异位妊娠患者1802例,经过住院观察和治疗,而后确诊为非异位妊娠50例,异位妊娠1752例;将50例非异位妊娠对照同期确诊为异位妊娠的51例患者的临床资料并回顾性分析。结果两组101例患者全部有停经史,易误诊为异位妊娠的疾病主要为早孕、月经失调、先兆流产、完全流产。结论严密监测患者临床症状和体征,观察血β-HCG变化趋势和上升幅度,综合分析和定期复查盆腔彩超,是避免异位妊娠漏诊、误诊和过度治疗的关键。
Objective：To discuss the clinical features and termination of 1802 cases diagnosed as ectopic pregnancy in outpatients department,analysis 50 cases of non-ectopic pregnancy compared to another 51 cases of ectopic pregancy as final diagnosis,improve the accuracy of clinical differential diagnosis and avoid missed diagnosis,misdiagnosis and over therapy.Methods：1802 cases of ectopic pregnancy diagnosed in outpatients department were observed and treated in hospital.Of these cases,50 were diagnosed as non-ectopic pregnancy and ectopic pregnancy for 1752 cases.Retrospective study was taken on these 50 cases of non-ectopic pregnancy compared to another 51 cases of ectopic pregnancy during the same time.Results：Patients in both group all have menelipsis and were easily misdiagnosied as early pregnancy,dysmenorrhea,threatened abortion and complete abortion.Conclusion：Close monitoring the clinical symptoms and physical signs of patients,observing the variation trend and ascending level of the concentration of β-HCG in blood,analysising generally and taking color ultrasound examination of pelvic cavity regularly are the keys to avoid missed diagnosis,misdiagnosis and over therapy.
出处
《中国优生与遗传杂志》
2010年第4期100-101,共2页
Chinese Journal of Birth Health & Heredity
关键词
误诊
异位妊娠
Misdiagnosis
Ectopic pregnancy
