摘要
目的探讨测定早期妊娠者血清孕酮及CA125水平,对诊断稽留流产及异位妊娠中的作用。方法选择疑诊为先兆流产或异位妊娠而入院的患者161例,其中按妊娠结局分为先兆流产安胎成功组(81例)、发展为稽留流产组(38例)和异位妊娠组(42例),监测各组病例血清孕酮及CA125值。结果先兆流产安胎成功组孕酮值,高于稽留流产组(P<0.05),明显高于异位妊娠组(P<0.01);而先兆流产组的CA125明显低于稽留流产组与异位妊娠组(P<0.01);稽留流产组与异位妊娠组CA125无显著性差异(P>0.05)。结论血清孕酮联合CA125值测定在诊断稽留流产及异位妊娠中有很好的作用,可更好反映早期妊娠状况。
Objective To determine the value of serum progesterone and CA125 in the early diagnosis of missed abortion and ectopic pregnancy. Methods Serum progesterone and CA125 were assayed of 161 patients who were suspected to be ectopic pregnancy. On the basis of result of pregnancy the patients were divided into three groups：threatened abortion successful tocolysis group （81 cases）, missed abortion group （38 cases） and ectopic pregnancy group （42 cases）. Results The progesterone level of threatened abortion successful tocolysis group was higher than that of missed abortion group （ P 〈 0. 05 ）, and obviously higher than that of ectopic pregnancy group （P 〈0.01 ）. The CA125 level of threatened abortion group was significantly lower than that of the other two groups（ P 〈0. 01 ） ; the CA125 level of missed abortion group and ectopic pregnancy group was no significant difference （P 〉 0. 05）. Conclusion Combined determination of serum progesterone and CA125 in the diagnosis of missed abortion and ectopic pregnancy in a very good role in early pregnancy can better reflect the situation.
出处
《中国实用医药》
2009年第9期25-26,共2页
China Practical Medicine
关键词
孕酮
CA125
先兆流产
稽留流产
异位妊娠
Progesterone
CA125
Missed abortion
Threatened abortion
Ectopic pregnancy
