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少见部位异位妊娠往往因病史不典型,症状及体征出现较晚而造成误诊。本文综合云南省人民医院及白求恩医大少见部位异位妊娠54例,就诊治体会加以探讨。临床资料一、少见部位异位妊娠与输卵管妊娠所占之比例云南省人民医院1975年1月至1988年9月期间、白求恩医大1974年10月至1988年10月期间,共收治异位妊娠940例,其中少见部位异位妊娠54例,占同期异位妊娠的5.74%。54例中卵巢妊娠20例(2.13%),输卵管间质部(含子宫角部)妊娠17例(1.18%),子宫残角妊娠7例(0.74%),宫颈妊娠6例(0.64%),双侧输卵管同时妊娠1例,宫内及输卵管同时妊娠2例(0.32%),阔韧带妊娠1例(0.11%)。54例中47例误诊,误诊率为87%。术前明确诊断7例:3例较
Rare parts of ectopic pregnancy are often atypical history, symptoms and signs appear later caused misdiagnosis. In this paper, 54 cases of ectopic pregnancy in Yunnan Provincial People’s Hospital and Bethune Medical University were treated. Clinical data A rare site of ectopic pregnancy and tubal pregnancy accounted for the proportion of Yunnan Provincial People’s Hospital January 1975 to September 1988 period, Bethune Medical University in October 1974 to October 1988 period, a total of 940 cases of ectopic pregnancy Cases, including rare cases of ectopic pregnancy in 54 cases, accounting for 5.74% of ectopic pregnancy over the same period. In 54 cases, there were 20 cases (2.13%) of ovarian pregnancy, 17 cases (1.18%) of tubal interstitium (including uterine horn), 7 cases of rudimentary horn remnant (0.74%), 6 cases of cervical pregnancy One case of bilateral tubal pregnancy at the same time, intrauterine and tubal pregnancy in 2 cases (0.32%), broad ligament pregnancy in 1 case (0.11%). Forty-four cases were misdiagnosed, with a misdiagnosis rate of 87%. Preoperative diagnosis of 7 cases: 3 cases more