陈旧性宫外孕８６例临床分析山西医学院第二附属医院（０３０００１）刘宗梅，黄莉，赵嘉玲陈旧性宫外孕在异位妊娠中占有一定比例，但因临床表现不甚典型，误诊率较高，不能及时得到诊治，现将我院１９８０年５月～１９９１年１１月共收治的８６例分析报告如下。资料与结果陈旧性宫外孕８６例（以出院诊断为准确）占同期异位妊娠总数的２９．５５％发病年龄２１～４６岁，２６～３５岁６５例，占７５．５８％。发病因素：有人流史３０例，宫内节育器（ＩＵＤ）２７例，绝育史５例，原发不孕９例，继发不孕９例，盆腔炎５例，病史不详２例。临床症状：停经５６例，腹痛８５例，阴道出血８６例，早孕反应５例，肛门坠胀６例、昏厥史４例。体征：贫血貌２６例，休克史４例，腹部压痛３０例，腹肌紧张３例，腹部包块６例，附件包块８６例（最大包块似４个月妊娠子宫大小），低烧４例。孕卵着床部位：流产型５８例，其中输卵管壶腹部５４例，伞部４例。破裂型２８例，其中输卵管壶腹部１２例，伞部１０例，卵巢１例，部位不详５例。误诊情况：误诊卵巢囊肿１３例，炎症包块１２例，卵巢囊肿蒂扭转ｌ例，葡萄胎＋黄素囊肿１例，黄体破裂１例，感染流产２例。发病４０～５０天就诊者２０例，６０～７０天就诊 Old ectopic pregnancy clinical analysis of 86 cases of the Second Affiliated Hospital of Shanxi Medical College (030001) Liu Zongmei, Huang Li, Zhao Jialing old ectopic pregnancy in ectopic pregnancy occupy a certain percentage, but because of clinical manifestations are not typical, high misdiagnosis rate, can not be timely Get diagnosis and treatment, now our hospital from May 1980 to November 1991 were treated 86 cases reported as follows. Materials and Outcomes 86 cases of old ectopic pregnancy (accounting for accurate diagnosis of discharge) accounted for 29.55% of the total number of ectopic pregnancy in the same period. The patients were 21 to 46 years old and 65 to 26 years old, accounting for 75.58%. The incidence of factors: a history of abortion in 30 cases, 27 cases of intrauterine device (IUD), 5 cases of sterilization, 9 cases of primary infertility, 9 cases of secondary infertility, pelvic inflammatory disease in 5 cases, 2 cases of unknown history. Clinical symptoms: 56 cases of menopause, abdominal pain in 85 cases, 86 cases of vaginal bleeding, 5 cases of early pregnancy reaction, anus, bulging in 6 cases, 4 cases of syncope. Symptoms: anemia appearance in 26 cases, shock history in 4 cases, abdominal tenderness in 30 cases, abdominal muscle tension in 3 cases, 6 cases of abdominal mass, annex mass in 86 cases (the largest mass of 4 months pregnant uterine size), 4 cases of low-grade fever . Pregnancy egg implantation site: abortion 58 cases, including 54 cases of tubal ampulla and umbrella in 4 cases. Rupture in 28 cases, including tubal ampulla in 12 cases, 10 cases of umbrella, ovary in 1 case, unknown site in 5 cases. Misdiagnosis: misdiagnosed ovarian cyst in 13 cases, inflammatory mass in 12 cases, ovarian cyst torsion in 1 case, hydatidiform mole + flavin cyst in 1 case, corpus luteum rupture in 1 case, and infection in 2 cases. 20 cases of onset 40 to 50 days of treatment, 60 to 70 days treatment