摘要
目的探讨孕酮及血清人绒毛膜促性腺激素(β-HCG)检测在异位妊娠早期诊断中的价值。方法分别检测42例异位妊娠患者和同期40例早期正常宫内妊娠妇女的孕酮和血清β-HCG的浓度值。结果异位妊娠组孕酮和血清β-HCG值明显低于正常宫内妊娠组,差异有统计学意义(P<0.01)。若以孕酮<15ng/mL作为诊断异位妊娠的临界点,其敏感度为90.48%,特异度为92.50%,阳性预测值为92.68%,诊断符合率91.46%。结论孕酮与血清β-HCG监测可提高异位妊娠早期诊断的敏感性和特异性。
Objective To explore the value of progesterone and serum β-HCG in the early diagnosis of ectopic pregnancy. Methods Progesterone and serum β-HCG were detected in 42 cases of suspected to be ectopie pregnancy and 40 women of regular intrauterine gestation. Results The progesterone and serum β-HCG value in the ectopic pregnancy group were obviously lower than those in the intrauterine gestation group, difference between the two groups showing statistical significance（P〈0.01）. With progesterone 〈15 ng/mL as the cut-off point for diagnosing eetopic pregnancy,its sensitivity and the specificity were 90. 48% and 92. 50%respectively, the positive predictive value was 92.68 % and the diagnosis coincidence rate was 91.46 % in the diagnosis of eetopic pregnancy. Conclusion The united monitoring of progesterone and serum β-HCG can enhance the sensitivity and the specificity in the early diagnosis of ectopic pregnancy.
出处
《检验医学与临床》
CAS
2012年第20期2592-2593,共2页
Laboratory Medicine and Clinic
