摘要
目的:探讨异位妊娠漏诊及误诊发生的原因,提高超声诊断准确率。方法:对3年来超声漏诊、误诊的28例异位妊娠病例进行回顾分析。结果:28例中误诊为盆腔炎性包块者2例,卵巢肿瘤待切者2例,盆腔炎者8例,宫内早孕者6例,不全流产5例,漏诊5例。结论:异位妊娠误诊原因很多,医生必须仔细检查,全面考虑诊断,在高度怀疑异位妊娠时,必须结合尿HCG或血HCG检查,并结合彩色多普勒超声检查、临床症状进行全面分析诊断。
Objective: To investigate the causes of missed diagnosis and misdiagnosis of ectopic pregnancy and elevate accuracy of diagnostic ultrasound. Methods: Data of 28 patients with ectopic pregnancy who had been missed diagnosed and misdiagnosed using ultrasound in recent 3 years were analyzed retrospectively. Results: Of the 28 patients with ectopic pregnancy, 2 cases were misdiagnosed as pelvic inflammatory masses; 2 cases as impended ovary tumors; 8 cases as pelvic infection, 6 cases normal pregnancy, 5 cases incomplete abortion; 5 cases were missed diagnosed. Conclusion: To prevent missed diagnosis and misdiagnosis of ectopic pregnancy undergoing color Doppler ultrasound, doctors should examine the patients carefully, integrate clinical presents and refer to urine HCG or blood HCG in necessary.
出处
《海南医学院学报》
CAS
2008年第3期265-266,268,共3页
Journal of Hainan Medical University
关键词
妊娠
异位
超声检查
误诊
Pregnancy, ectopic
Ultrasonic examination
Misdiagnosis