Easley H A, Olive D L, Holman J F
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.
J Reprod Med. 1987 Dec;32(12):901-6.
A retrospective review of the 119 patients with suspected ectopic pregnancy presenting to Duke University Medical Center during the two-year period ending June 30, 1983, was conducted. In order to determine significant differences between patients with and without ectopic pregnancy, the presenting complaints and physical signs were reviewed and analyzed. Significant findings in women with ectopic pregnancy were: (1) vaginal bleeding lasted longer, (2) abdominal rebound tenderness was more prevalent, and (3) abdominal pain was more prevalent in patients with ruptured ectopic pregnancy than in those with unruptured. There were no other significant differences among the signs and symptoms. Patients with and without ectopic pregnancy cannot be easily distinguished on the basis of presenting signs and symptoms. A combination of culdocentesis and quantitative human chorionic gonadotropin provides the maximal discriminative capacity when considering diagnostic laparoscopy for suspected ectopic pregnancy.
对1983年6月30日结束的两年期间到杜克大学医学中心就诊的119例疑似异位妊娠患者进行了回顾性研究。为了确定有异位妊娠和无异位妊娠患者之间的显著差异，对其就诊时的主诉和体征进行了回顾和分析。异位妊娠女性的显著发现为：（1）阴道出血持续时间更长；（2）腹部反跳痛更常见；（3）异位妊娠破裂患者的腹痛比未破裂患者更常见。体征和症状之间没有其他显著差异。根据就诊时的体征和症状，无法轻易区分有异位妊娠和无异位妊娠的患者。在考虑对疑似异位妊娠进行诊断性腹腔镜检查时，阴道后穹窿穿刺术和定量人绒毛膜促性腺激素相结合具有最大的鉴别能力。
