摘要
目的:提高对特殊部位异位妊娠的认识和诊断,减少此病的误诊率。方法:对41例特殊部位异位妊娠临床资料进行回顾性分析。结果:特殊部位妊娠41例中卵巢妊娠23例,宫颈妊娠8例,宫角妊娠5例,腹腔妊娠5例,占同期异位妊娠的7.9％,误诊率为34.1％;2例经B超早期诊断的宫颈妊娠经保守治疗成功,4例宫角妊娠术前经B超检查而早期发现,避免了破裂大出血。结论:特殊部位异位妊娠早期诊断可避免大出血,详细询问病史、β-HCG及B超对早期诊断有重要价值。
Objective: To improve the diagnosis and decrease misdiagnosis of ectopic pregnancies at special sites. Methods: 41 cases with ectopic pregnancies at special sites were retrospectively studied. Results: The group accounted for 7.9% of all pregnancies occurring during this period ,and the rate of misdiagnosis is 34.1%. Ovarian pregnancies occurred in 23 cases, cervical pregnancies 8,cornunual uterus pregnancies 5 and abdominal pregnancies 5. 2 cervical pregnancies diagnosed by ultrasonography at early were cured conservatively. 4 cornunual uterus pregnancies were diagnosis by ultrasonography before operation and avoid peritonea bleeding. Conclusion: Early diagnosis can avoid peritonea bleeding in ectopic pregnancies at special sites. Detail history, β-HCG and ultrasonography was of great value in early diagnosis.
出处
《岭南急诊医学杂志》
2003年第3期208-209,共2页
Lingnan Journal of Emergency Medicine
