96例异位妊娠误诊原因的探讨

Disscusion on the Misdiagnosis of Ectopic Pregnancy

目的 通过回顾性病例分析探讨异位妊娠误诊的原因 ,从而提高对异位妊娠诊治水平。方法 回顾性分析 1993～2 0 0 2年收治的 3 5 7例异位妊娠中的 96例误诊病例 (包括病史 ,症状及实验室检查等 )。结果 本组异位妊娠误诊率为 2 6 9% ,其中异位妊娠易误诊为早孕、先兆流产等 ,误诊的主要原因为病史不详体检不全 ,临床症状不典型 ,辅助检查误导。结论 提高对异位妊娠的警惕性 ,加强对不典型异位妊娠的认识 。

Objective To explore the causes of misdiagnose of ectopic pregnancy by retrospective analysis in our hospital cases,in order to increase the diagnose and curative level in ectopic pregnancy.Methods Clinical data of the misdiagnosis of 96 cases from the 357 patients of ectopic pregnancy in our hospital from year 1993 to 2002,including materials of histories ,symptoms signs and laboratory examinations were retrospectively analyzed.Results The misdiagnosis rate of ectopic pregnancy in our hospital was 26 9%, most of them were treated as early pregnancies, threatened abortions etc. The causes of misdiagnosis were neglectful of asking essential history, no overall physical examination and misleading by the laboratory results.Conclusions The effectively preventive measures against misdiagnosing of ectopic pregnancy were strengthen vigilance of ectopic pregnancy,familiar with the knowledge of atypical ectopic pregnancy and the essential examinations on gravida.