[1]郭银树 张颖 段华**.陈旧性输卵管妊娠误诊2例报告[J].中国微创外科杂志,2015,15(12):857-858.
　Guo Yinshu,Zhang Ying,Duan Hua..Misdiagnosis of Old Ectopic Pregnancy: Report of Two Cases[J].Chinese Journal of Minimally Invasive Surgery,2015,15(12):857-858.
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陈旧性输卵管妊娠误诊2例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年12期
页码:
857-858
栏目:
病例报告
出版日期:
2015-12-20

文章信息/Info

Title:
Misdiagnosis of Old Ectopic Pregnancy: Report of Two Cases
作者:
郭银树 张颖 段华**
（首都医科大学附属北京妇产医院妇科微创中心，北京100006）
Author(s):
Guo Yinshu;  Zhang Ying;  Duan Hua.
Gynecological Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University, Beijing 100006, China
关键词:
陈旧性输卵管妊娠; 输卵管间质部妊娠; 超声; 宫腔镜; 误诊
Keywords:
Old ectopic pregnancy; Interstitial tubal pregnancy; Ultrasound; Hysteroscopy; Misdiagnosis
分类号:
R714.22
文献标志码:
D
摘要:
本文报道2008年2~6月2例陈旧性输卵管妊娠误诊病例，病例1术前诊断为滋养细胞疾病，病例2诊断为宫角妊娠，为进一步明确诊断行腹腔镜探查术，术中证实为陈旧性输卵管间质部妊娠，切除输卵管及包块组织，术后病理证实为胚物组织。我们认为陈旧性输卵管妊娠临床症状多变，血清hCG测定常无阳性发现, B 超检查无特异性, 影像结果多样化，详细询问病史，重视鉴别诊断,是减少陈旧性异位妊娠误诊的关键。
Abstract:
From February 2008 to June 2008, two cases of old ectopic pregnancy were misdiagnosed: Case 1 was misdiagnosed as gestational trophoblastic disease (GTD), and Case 2 was misdiagnosed as cornual pregnancy. In order to further confirm the diagnosis, two cases were all given laparoscopic exploration. Surgery confirmed interstitial chronic ectopic pregnancy, leading to a resection of the fallopian tubes and mass lesions. Embryo tissue was pathologically confirmed postoperatively. The diagnosis of old ectopic pregnancy is difficult. Serum hCG determination is often found no positive, and ultrasound examination has no specificity. The clinical images are varied. Detailed medical history inquiry and attention to differential diagnosis are key for the diagnosis of old ectopic pregnancy.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：北京市医管局重点医学发展项目扬帆计划（项目编号：ZYLX201406）**通讯作者，E-mail：duanhua888@126.com
更新日期/Last Update: 2016-02-03