摘要
目的:探讨宫内妊娠误诊为异位妊娠的原因。方法:对我院宫内妊娠误诊为异位妊娠46例及同期确诊为异位妊娠92例采用病例对照方法进行回顾性分析。结果:宫内妊娠组停经史例数、平均停经天数、腹痛例数、宫内膜增厚例数与异位妊娠组均无差异(P>0.05),宫内妊娠组腹部压痛、宫颈举痛和附件区压痛例数、阴道流血例数、附件包块例数及盆腔积液例均低于异位妊娠组(P<0.05)。结论:对病史、体征、辅助检查综合分析不足,过分依赖辅助检查等是误诊的主要原因。
[Objective]To evaluate the reasons that intrauterine pregnancywasmisdiagnosed as ec - topic pregnancy.[Method]46 patientswith intrauterine pregnancywhowere diagnosed as ectopic pregnancy in our hospital,and92 patientswith the finaldiagnosis ofectopic pregnancy inthe same period were retrospectively analyzed.[Result]Therewas no significantdifference between intrauterine preg - nancy group and ectopic pregnancy group days withmenopause and in the number of caseswithmenopausalhistory ,ofabdominalpain,showing endometrial thickening andβ-HCG(P > 0.05);the numberofca - ses complaining abdominal tenderness,with vaginal bleeding,ofannexmass and pelvic effusion,cervicalpain and annex areas cited tenderness of intrauterine pregnancy groupwere signif-icantly lower than the number of ectopic pregnancy group(P < 0?05).[Conclusion]The diagnosis and treatment based on lack of a comprehensive analysis of the history, signs,laboratory examinations,and over- reliance on supplementary examinations is the main reason fotmisdiagnosis.
出处
《浙江医学教育》
2009年第4期58-60,共3页
Zhejiang Medical Education
关键词
宫内妊娠
异位妊娠
误诊
pregnancy
ectopic pregnancy
misdiagnosis
