【摘要】 为探讨异位妊娠(ectopic pregnancy,EP)的临床早期诊断及发病相关因素,对经手术及病理证实的106例EP进行了回顾性分析。结果表明:(1)EP的误诊率高达17.9％,其误诊原因主要是病史询问不仔细,被带宫内节育器(intrauterine device,IUD)或已绝育而掩盖,误诊为先兆流产、不全流产12例,占误诊63.2％,对早期诊断进行讨论。(2)EP的相关因素有慢性盆腔炎症、盆腔手术史、不孕症,尤其是EP与IUD的关系密切,带IUD发生EP有41例,占EP的38.7％,居相关因素之首。(3)带IUD的EP着床部位多在输卵管的中、远端,与不带IUD的EP发生部位有差异(P<0.05)。(4)用性激素治疗不孕症时要警惕EP的发生。更多还原

【Abstract】 In order to study the early clinical diagnosis and related factors of causing disease 106 cases of ectopic pregnancy proved by operation and pathology are aralyzed. It shows that; (1) The rate of misdiagnosis is as high as 17.9%. Because of carelessly inquiring the patient’ s history and confused by intrauterine device and stevilzation 12 cases of E. P were misdiagnosed as threatened abortion and incomplete abortion, 63. 2% . (2) The related factors of E. P are the following ; Pelvic inflammation, operation history on pelvic and sterility, especially E P. has close contact with IUD. 41 cases of IUD, which is 38.7% , Stand at the first place. (3) Most of the implantation part of E. P with IUD lie in the middle and far end of oviduct. They are different from the E P without IUD. P < 0. 05. (4) Be careful that while treating sterility with go-nadotherapy may lead to E. P.更多还原