76 cases of ectopic pregnancy on the clinical diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 6 76 cases of ectopic pregnancy on the clinical diagnosis and treatment [Keywords: ectopic pregnancy; diagnosis; treatment Ectopic pregnancy is common in women of childbearing age in patients with the disease, if not properly attended to, will cause great suffering of pregnant women, and even life-threatening. Are admitted to hospital gynecology clinic in recent years, 76 cases of ectopic pregnancy clinical analysis of the situation , reported as follows. 1 Clinical data 1.1 General information from 2003-2007, according to statistics a total of 1894 cases treated in pregnant women, including 76 cases of ectopic pregnancy, accounting for 4%. Analysis and ectopic pregnancy-related factors: inflammation and pelvic inflammatory disease, such as accessories, 26 cases accounted for 34% Palace built-ring in 20 cases, 26%, after sterilization in 18 cases, 23%, 24 cases of abortion, accounting for 31.57%, 4 cases appendectomy, 5.26%, cesarean section 8 patients, accounting for 10.5%, no The exact factors in 4 cases, 5%, there are two factors in 16 cases, accounting for 21.1%. symptoms, abdominal pain 76 cases, 100%; the history of menopause in 58 cases, accounting for 76.3%; 42 cases of vaginal bleeding, accounting for 55.3% ; shock in 24 cases, 31.6%; anal bulge in 20 cases, 26.3%. signs: cervical pain in 68 cases, accounting for 89.5%; adnexal mass in 56 cases, 73.7%; 60 cases of abdominal irritation, accounting for 92.1%. shifting dullness positive in 54 cases, accounting for 84.21%; 58 cases of enlarged uterus, accounting for 65.8%. After the dome puncture diagnosis 1.2 68, the positive rate was 96.5%; 8 cases of paracentesis, the positive rate of 100%. B-ultrasound 56 people, including 6 patients were misdiagnosed as pelvic masses, β-HCG measurement, 30 cases were all positive . 1.3 Treatment of surgical treatment of 72 cases, MTX treatment of 4 cases, 60 cases of oviduct removal, 4 cases of ovarian salpingectomy, ovarian wedg