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目的提高对出血性输卵管炎的认识 ,减少误诊误治。方法对 1995年 1月～ 2 0 0 0年 1月我院收治的出血性输卵管炎误诊为异位妊娠手术 9例进行回顾性分析。结果出血性输卵管炎发生率 4.71% ,漏诊率 6 8.2 3% ,误诊率 3.6 3%。 9例有近期宫腔操作史。术前白细胞有不同程度升高 ,血红蛋白正常或轻度下降。后穹窿穿刺均抽出不凝血 ,诊断异位妊娠急诊开腹手术。术中所见及病理报告未见绒毛及滋养叶细胞 ,确诊为出血性输卵管炎。结论对有近期宫腔操作史 ,且不支持异位妊娠时 ,要详细追问病史 ,行必要的实验室检查 ,动态观察 ,综合分析 ,考虑该病
Objective To improve the understanding of hemorrhagic salpingitis and reduce misdiagnosis and mistreatment. Methods From January 1995 to January 2000 in our hospital hemorrhagic salpingitis treated in 9 cases misdiagnosed as ectopic pregnancy were retrospectively analyzed. Results The incidence of hemorrhagic salpingitis was 4.71%, the rate of missed diagnosis was 6 8.23%, and the rate of misdiagnosis was 3.6%. 9 cases of recent history of intrauterine operation. Preoperative leukocytes increased to varying degrees, hemoglobin normal or mild decline. After the culdocentesis are not clotting out, diagnosis of ectopic pregnancy emergency laparotomy. No intraoperative findings and pathological findings villous and trophoblast cells, diagnosed with hemorrhagic salpingitis. Conclusion For the recent history of intrauterine operation, and does not support ectopic pregnancy, history should be detailed questioning, the necessary laboratory tests, dynamic observation, a comprehensive analysis, consider the disease