2015年第12期摘要2727陈旧
陈旧性输卵管妊娠误诊2例报告
郭银树张颖段华
（首都医科医院妇科微创中心，北京）
本文报道年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。
陈旧性输卵管妊娠；输卵管间质部妊娠；超声；宫腔镜；误诊
MisdiagnosisofOldEctopicPregnancy:ReportofTwoCasesGuoYinshu,ZhangYing,DuanHua.GynecologicalMinimallyInvasiveCenter,BeijingObstetricsandGynecologyHospitalAffiliatedtoCapitalMedicalUniversity,Beijing,China
FromFebruarytoJune,twocasesofoldectopicpregnancyweremisdiagnosed:Case1wasmisdiagnosedasgestationaltrophoblasticdisease(GTD),andCase2wasmisdiagnosedascornualpregnancy.Inordertofurtherconfirmthediagnosis,twocaseswereallgivenlaparoscopicexploration.Surgeryconfirmedinterstitialchronicectopicpregnancy,leadingtoaresectionofthefallopiantubesandmasslesions.Embryotissuewaspathologicallyconfirmedpostoperatively.Thediagnosisofoldectopicpregnancyisdifficult.SerumhCGdeterminationisoftenfoundnopositive,andultrasoundexaminationhasnospecificity.Theclinicalimagesarevaried.Detailedmedicalhistoryinquiryandattentiontodifferentialdiagnosisarekeyforthediagnosisofoldectopicpregnancy.
Oldectopicpregnancy;Interstitialtubalpregnancy;Ultrasound;Hysteroscopy;Misdiagnosis
白癜风信息刘云涛
