摘要
Abstract
Objective To investigate clinical features, misdiagnosed causes and preventive measures of choriocarci-noma ( CC) . Methods Clinical data of CC documented in misdiagnosis literature data base from 2004 to 2013 was retrospec-tively analyzed. Results A total of 60 articles (122 misdiagnosed patient) were included in this study, which included 2 ar-ticles about misdiagnosis rate, and the misdiagnosis rate was 45. 45%. The 122 patients were misdiagnosed as having 38 kinds of diseases for 132 times, the top 5 misdiagnosed diseases in order were eccyesis, pulmonary tuberculosis, hysteromyoma, abortion and retained afterbirth, and ratio of patients misdiagnosed as having eccyesis was 57. 58%. Misdiagnosed outcomes of the 122 patients were evaluated by evaluation criterion of misdiagnosis disease database, there were 1 patients (0. 82%) with grade Ⅲ outcome which did not cause serious consequence and 121 patients (99. 18%) with gradeⅡ outcome which caused serious consequence. The main causes of misdiagnosis were lack of experience and knowledge of this disease, without specific examinations and without carelessness inquiry and body examination and so on. Conclusion CC can be rarely cured in clin-ic, and therefore clinicians should improve knowledge, ask medical history carefully and give related examinations timely in order to avoid the misdiagnosis.关键词
绒毛膜癌/误诊/妊娠,异位/结核,肺/数据库/数据说明,统计Key words
Choriocarcinoma/Misdiagnosis/Pregnancy/ectopic/Tuberculosis/pulmonary/Database/Data inter-pretation/statistical分类
医药卫生