Misdiagnosis of 18 cases of ectopic pregnancy.docVIP

 PAGE \* MERGEFORMAT 8 Misdiagnosis of 18 cases of ectopic pregnancy [Keywords:] pregnancy misdiagnosed In recent years, the incidence of ectopic pregnancy showed a rising trend, the country has increased from 1:56 to 93 (of ectopic pregnancy: normal pregnancy [1]. With the advances in diagnostic technology, early diagnosis is possible, however, because early ectopic The clinical manifestations and signs of pregnancy diverse, still easily confused with many diseases, can easily result in misdiagnosis. 1 Materials and Methods 1.1 General Information May 2004 ~ Nov. 2006 in our hospital with “ectopic pregnancy” diagnosis received a total of 119 patients hospitalized patients, 11 patients were explicitly excluded ectopic pregnancy after treatment for other diseases, but other diseases, hospital income 7 patients after treatment was diagnosed as ectopic pregnancy, misdiagnosis rate was 14.29%. with an average age of 29.3 years of age, menopause, history of 10 patients (55.56%, with abdominal pain in 10 cases (55.56%, with vaginal bleeding 6 cases (33.33% of the time to diagnosis in patients with treatment 1 to 10 days with an average 4.75 days. 1.2 The auxiliary examination of 18 cases misdiagnosed patients check urine pregnancy test in 10 cases, of which 8 cases were positive, weakly positive in 2 cases, none of the negative. Quantitative hCG blood test detected in 1 case, the value is 1 228 mIU / ml. in which 14 patients to do pelvic ultrasound examination, ultrasound investigation and diagnosis do not meet the end in 5 patients. 4 patients made a diagnostic curettage. 2 Results In cases of misdiagnosis of 18 cases, 7 cases of ectopic pregnancy misdiagnosed as other Department of the common gynecological disease (3 cases misdiagnosed as pelvic inflammatory disease, 1 was misdiagnosed as pelvic masses, 1 case was misdiagnosed as dysfunctional uterine bleeding, 2 cases were misdiagnosed as gastritis medical treatment, 11 cases of common gynecol