少见部位异位妊娠56例临床分析

目的 探讨少见部位异位妊娠的临床特征及误诊原因。方法 对1993年8月至2003年8月收治的56例少见部位异位妊娠进行回顾性分析。结果 发生率占同期异位妊娠4、67％，术前误诊率85．7％。所有患者均急诊剖腹探查，视术中情况行异位妊娠灶切除，必要时连同患侧附件甚至全子宫切除。结论 少见部位异位妊娠临床表现不典型，术前诊断较困难，一旦怀疑本病应及早手术探查明确诊断，治疗效果好。

Clinical analysis of 56 cases of special-site ectopic pregnancies

Objective To explore the clinical characteristics and misdiagnosis reasons of special-site ectopic pregnancy.Methods The retrospective analysis was performed on 56 cases of special-site ectopic pregnancies in our hospital from August 1993 to August 2003.Results The incidence in that of synchronization ectopic pregnancy was 4.67%,and the preoperative misdiagnosis rate was 85.7%.All the patients received the emergency exploratory laparotomy.Then according to situations at surgery,some patients got the focal resection of ectopic pregnancy,and if necessary,the patients got the resection of appendix and the panhysterectomy.Conclusion The clinical features of special-site ectopic pregnancy is not typical,so it's difficult for preoperative diagnosis.If there is a suspicion of the disease,surgical exploration should be preformed earlier to get better therapeutic effects.