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目的 探讨少见部位异位妊娠的临床特征及误诊原因。方法 对 1993年 8月至 2 0 0 3年 8月收治的5 6例少见部位异位妊娠进行回顾性分析。结果 发生率占同期异位妊娠 4 6 7% ,术前误诊率 85 7%。所有患者均急诊剖腹探查 ,视术中情况行异位妊娠灶切除 ,必要时连同患侧附件甚至全子宫切除。结论 少见部位异位妊娠临床表现不典型 ,术前诊断较困难 ,一旦怀疑本病应及早手术探查明确诊断 ,治疗效果好
Objective To investigate the clinical features and misdiagnosis of ectopic pregnancy in rare sites. Methods Retrospective analysis was performed on 56 cases of rare ectopic pregnancy admitted from August 1993 to August 2003. Results The incidence of ectopic pregnancy accounted for 46.7%, preoperative misdiagnosis rate 85.7%. All patients were emergency laparotomy, depending on the circumstances underwent ectopic pregnancy resection, if necessary, with ipsilateral attachment or even hysterectomy. Conclusions The rare clinical manifestations of ectopic pregnancy are not typical, preoperative diagnosis is more difficult. Once the suspicion of the disease should be confirmed by early surgical exploration, the treatment effect is good