摘要：目的：探讨输卵管妊娠的诊断，特别是不典型病例的早期诊断，分析其发病及误诊原因。方法：对204例输卵管妊娠手术患者的临床资料进行回顾性分析，对输卵管切除标本经常规石蜡切片、HE染色后普通光学显微镜观察。结果：初诊确诊病例178例(87.3%)，误诊26例(12.1%)，流产史79例，放置宫内节育器101例，合并输卵管炎及盆腔炎45例，卵巢肿瘤10例，子宫肌瘤12例。结论：流产、宫内节育器放置及慢性炎症是最常见的引起输卵管异位妊娠的原因，病史、血β-HCG及B超检查对不典型病例的诊断具有重要作用。

    关键词：输卵管妊娠；诊断；病因；误诊

    Clinicopathologic Analysis of 204 Cases of Tubal Pregnancy

    HUANG Hai-hua, ZHENG Zhi-chao, LI Xiao-feng

    (The Second Affiliated Hospital of Medical College of Shantou University, Guangdong Shantou 515041, China)

    Abstract： Objective： To explore the diagnosis of tubal pregnancy, especially the untypical cases，and analyze its causes of episode and misdiagnosis. Method： To make retrospectively review on the clinical data of 204 patients of tubal pregnancy. The uterine tube resection samples are treated with routine paraffin section and HE staining ......