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联合检测血清HCG及孕酮诊断异位妊娠的价值
梁亚芳,田红菊
410007 长沙,湖南省职业病防治院妇科
摘要:
[摘要] 目的 探讨联合检测血清人绒毛膜促性腺激素(HCG)和孕酮(P)在异位妊娠早期诊断中的价值。方法 采用直接化学发光法分别在就诊当日及48 h后检测异位妊娠患者80例(异位妊娠组)和正常宫内早孕妇女80例(正常妊娠组)的血清HCG和P的含量。结果 就诊当日正常宫内妊娠者血清HCG及P均显著高于异位妊娠患者,差异有统计学意义(P<0.01)。就诊当日与48 h后血清HCG比较,异位妊娠组差异无统计学意义(P>0.05),而正常宫内妊娠组48 h血清HCG值较就诊当日升高翻倍,差异有统计学意义(P<0.05)。结论 动态监测血清HCG是早期诊断异位妊娠较为敏感的方法,联合检测P,对辅助诊断早期异位妊娠具有重要意义。
关键词:  血清HCG  孕酮  异位妊娠
DOI:10.3969/j.issn.1674-3806.2014.06.15
分类号:R 714.22
基金项目:
Value of serum HCG combined with progesterone in the diagnosis of ectopic pregnancy
LIANG Ya-fang, TIAN Hong-ju
Department of Gynecology, the Hospital of Prevention and Treatment of Occupational Diseases of Hunan Province, Changsha 410007,China
Abstract:
[Abstract] Objective To analyze the value of the serum HCG and progesterone in the early diagnosis of ectopic pregnancy.Methods Eighty patients with ectopic pregnancy were used as study group and 80 normal intrauterine pregnancy women as control group. The content of serum HCG and progesterone on the day of visit and after 48 h in the two groups were detected using direct chemiluminescent method.Results The content of serum HCG and progesterone in the control group were significantly higher than that measured in the study group on the day of visit, the difference was statistically significant(P<0.01); There was no significant difference of serum HCG in the study group between the day of visit and 48 h after visit(P>0.05), while in the control group, the content of serum HCG at 48 h after visit doubled compared with the treatment day, there was statistically significant(P<0.05).Conclusion The dynamic detection of serum HCG is a sensitive method for early diagnosis of ectopic pregnancy. The combined determination of serum HCG and progesterone in the early diagnosis of ectopic pregnancy is of great significance.
Key words:  Serum HCG  Progesterone  Ectopic pregnancy