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陈旧性宫外孕多因缓慢出血,血液凝固与周围组织脏器粘附形成包块,临床上易被误诊。现将我院自1986年1～10月误诊的21例分析如下。 一、误诊原因分析 21例均经手术证实为陈旧性宫外孕。误诊疾病为:阑尾脓肿1例;腹膜炎1例;肠胃炎1例;胆道蛔虫症1例;腹痛待查6例;附件炎2例;卵巢肿瘤扭转1例;子宫内膜炎1例;月经不调2例;不全流产1例;子宫肌瘤1例;哺乳期闭经1例;放环后出血2例。 (一)误诊为妇科疾病:因患者已做过绝育手术或上环避孕而忽视了宫外孕可能。有一例已绝育3年,有阴道不规则流血。妇检发现子宫增大孕2月大小,后壁高低不平、固定、误诊为子宫肌瘤。术中见增大的子宫是陈旧性宫外孕包块粘附子宫体后壁所致。如包块粘附在宫旁易误诊为卵巢肿瘤或炎性包块。又因宫外孕患者妇检时发
Old ectopic pregnancy and more due to slow bleeding, blood clotting and the surrounding tissue adhesion formation of mass, easily misdiagnosed clinically. Now in our hospital from January to October 1986 misdiagnosed 21 cases as follows. First, the misdiagnosis analysis of 21 cases were confirmed by surgery for the old ectopic pregnancy. Misdiagnosed diseases are: 1 case of appendix abscess; 1 case of peritonitis; 1 case of gastroenteritis; 1 case of biliary ascariasis; 6 cases of abdominal pain pending examination; 2 cases of accessory inflammation; 1 case of ovarian tumor reverse; 1 case of endometritis; Transferred in 2 cases; incomplete abortion in 1 case; 1 case of uterine fibroids; 1 case of amenorrhea during lactation; bleeding in 2 cases. (A) misdiagnosed as gynecological diseases: Because patients have done sterilization surgery or Sheung Wan contraception and neglected the possibility of ectopic pregnancy. One case has been sterilized for 3 years, there is vaginal irregular bloodshed. Fetal examination found that the uterus increases the size of pregnant in February, the posterior wall rugged, fixed, misdiagnosed as uterine fibroids. Intraoperative see the increase in the uterus is the result of old ectopic pregnancy adhesions uterine body wall. If the mass attached to the uterus is easily misdiagnosed as ovarian tumor or inflammatory mass. Because of ectopic pregnancy women sent seizures