摘要
目的研究血清人绒毛膜促性腺激素、孕酮在输卵管妊娠早期诊断的价值。方法未破裂的输卵管妊娠的病例620例为观察组,同期收治早期宫内妊娠流产者890例为对照组,对临床症状、血β-HCG、血孕酮测定,进行输卵管妊娠的早期诊断。结果两组临床表现无明显差异,观察组宫颈举痛、触及附件包块和附件压痛阳性率显著高于对照组。观察组血β-HCG水平与对照组相比有统计学差异;观察组48小时后血清β-HCG值上升病例占66.4%,倍增病例占5%,与对照组有统计学差异。当血清孕酮诊断界值定为15.65ng/ml时,为最佳诊断界值。结论动态血β-HCG、血孕酮测定对输卵管妊娠早期诊断效果较好。
Objective To assess the level of serumβ-hCG,progesterone and clinical symptoms in Tubal pregnancy. Methods serumβ-hCG,progesterone were measured by RIA in 620 Tubal pregnancys （Tubal pregnancy group）.The comparison group was 890 exceptional intrauterine pregnancies （Exceptional intrauterine pregnancy group）. Results The clinical symptoms were not different in two groups,but the physical symptoms were differences.serumβ-HCG was obviously differences than those in exceptional intrauterine pregnancy group（P〈0.01）.Those 620 cases from Tubal pregnancy group were drawn vein blood again after 48 hours,the increase rate of β-HCG was less than 66.4% and double increase case was 5%. The difference was significant than those in control group （P〈0.01）. It is the best diagnostic value when progesterone was 15.65ng/ml. Conclusion It prompts that the level of β-HCG,progesterone and clinical symptoms may be an important indicator.
出处
《中国现代医药杂志》
2008年第5期50-53,共4页
Modern Medicine Journal of China
