特殊部位异位妊娠(附106例临床分析)

Clinical Analysis of 106 Cases of Special-site Ectopic Pregnancies

目的探讨特殊部位异位妊娠的临床特点、误诊原因及治疗方法，以降低误诊率。方珐对我院2003-01-2007-04间106例特殊部位异位妊娠进行回顾性分析。结果特殊部位异位妊娠占同期输卵管妊娠的4．52％，误诊率63．21％。宫颈妊娠以无痛性反复性阴道流血为主要表现，宫角妊娠表现为子宫不对称性增大，腹腔妊娠早期为一过性下腹痛，卵巢妊娠因其早期表现和体征不明显，术前不易确诊，往往以急腹症而就诊。结论特殊部位异位妊娠既有其共性，又有其特殊性，早期诊断困难，易致急腹症、休克，我们应提高对该病的认识以避免误诊。

Objective To explore the clinical characteristics and misdiagnosis reasons and treatments of special- site ectopic pregnancies to decrease the rate of misdiagnosis. Methods One hundred and six cases of special - site ectopic pregnancies were analyzed retrospectively during the period of Jan. 2003 to Apr. 2007. Results The special - site ectopic pregnancies accounted for 4.52% of all ectopic pregnancies during this period, the rate of misdiagnosis was 63. 21% .Comual pregnancy presented tmsyminetrical uterus enlargement. Ovarian pregnancy was difficult to be diagnosed before surgical exploration because of tmobvious early- stage sympton and sign. Abdominal pregrtancy presented transitional lower abdominal pain in early stage. Painless vaginal recurrent bleeding was main clinical manifestation incervical pregnancy. Conclusion The special- site ectopic pregnancies not only have the generality but their respective clinical features also, it is difficult to be diagnosed before surgical exploration. Therefore it＇s easy to lead to emergercy bellyache and shock. We should enhance the recognition of specific ectopic pregnancies and avoid the misdiagnosis.