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魏敏.宫内早孕误诊为异位妊娠防治评价[J].中国医药科学,2020,(1):149-151        基金项目:
宫内早孕误诊为异位妊娠防治评价
Evaluation of prevention and treatment of early intrauterine pregnancy misdiagnosed as ectopic pregnancy
  
DOI:
中文关键词:  宫内早孕;误诊;异位妊娠;防治措施
英文关键词:Early intrauterine pregnancy;Misdiagnosis;Ectopic pregnancy;Preventive and therapeutic measures
作者单位
魏敏 湖北省咸丰县人民医院妇科,湖北咸丰 445600 
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中文摘要:
      [摘要] 目的 探究宫内早孕误诊为异位妊娠防治措施。 方法 本研究对象为我院 2015 年 5 月~ 2019 年 5月收治的 30 例宫内早孕误诊为异位妊娠患者,视为研究组,选取同期异位妊娠者 328 例,视为参照组,观察两组患者的临床症状与体征,进行统计学分析。 结果 对于盆腔积液、附件包块、附件区压痛、宫颈举痛、腹部压痛,参照组高于研究组(P < 0.05)。对于宫内膜增厚、血 β-HCG 值,研究组与参照组比较差异无统计学意义(P > 0.05)。 结论 造成宫内早孕误诊为异位妊娠的原因包括辅助检查、体征、病史的综合分析存在不足,过于依赖实验室诊断结果,为了预防此现象出现,应当动态观察存在疑问患者,在生命体征较为平稳状态下实施期待疗法。
英文摘要:
      [Abstract] Objective To investigate the preventive and therapeutic measures of early intrauterine pregnancy misdiagnosed as ectopic pregnancy. Methods This study involved 30 patients with early intrauterine pregnancy misdiagnosed as ectopic pregnancy,all of whom were admitted to our hospital from May 2015 to May 2019 and were divided into study group.328 patients with ectopic pregnancy during the same period were selected as reference group.The clinical symptoms and signs of patients in the two groups were observed and statistically analyzed. Results For pelvic effusion, adnexal mass, adnexal tenderness,cervical lifting pain and abdominal tenderness,the incidence of the reference group was higher than the study group(P < 0.05).For endometrial thickening and blood β-HCG value,there was no significant difference between the study group and the reference group(P > 0.05). Conclusion The causes of early intrauterine pregnancy misdiagnosed as ectopic pregnancy include lack of comprehensive analysis of auxiliary examinations,physical signs and medical history,and over-reliance on laboratory diagnosis.In order to prevent this phenomenon,suspected patients should be observed dynamically,and expectant therapy should be implemented when the vital signs are relatively stable.
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