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血清β-HCG在计划生育的药物流产中的临床意义 被引量:2

Clinical Meanings of Determination of Serum β-HCG Levels in the Management of Drag Abortion for Family Planning
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摘要 目的:探讨检测血清β-HCG在计划生育药流中的临床意义。方法:采用化学发光法测定254例正常妊娠和102例异位妊娠育龄妇女血清人绒毛膜促性腺激素(HCG)。结果:检测血清β-HCG的含量,正常妊娠组的值明显大于异位妊娠组,差异显著(P<0.01)。检测的结果还提示,β-HCG的值越大,孕囊排出体外的时间越长,而B超的结果则与孕囊排出体外的时间关系不大,无显著性差异(P>0.05)。结论:对正常妊娠做药物流产的育龄妇女,停经天数超过45d,血清β-HCG的值>50000m IU/m l的患者,可适当加服米索,以便使孕囊尽早排出体外。 Objective to study the clinical meanings of determination of serum β - HCG levels in the management of drug abortion for birth control. Methods Serum β- HCG levels were determined with CLIA in 254 pregnant women asking for drug abortion and 102 women with ectopic gestatoin. Results The serum β - HCG levels in women with normal pregnancy were significantly higher than those in women with ectopic gestation (P 〈 0.01 ). The higher the β -HCG levels were, the longer it took for the embryo sac to be expelled. However, the size as shown with ultrasonography had little effect on the length of time required for embryo sac expelling (P 〉 0.05). Conclusion For drug abortion in those pregnant women with ammenorrhea over 45 days and serum β- HCG levels over 50000mlU/ml, a larger close of misoprostol may be desirable.
出处 《放射免疫学杂志》 CAS 2005年第6期510-511,共2页 Journal of Radioimmanology
关键词 人绒毛膜促性腺激素 正常妊娠 异位妊娠 药物流产 计划生育 human chorionic gonadotropin, pregnancy, ectopic pregnancy, abortion with drug
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参考文献3

  • 1Cracia CR,Barnhart KT.Diagnosing ectopic pregnancy:decision analysis compared six strategies.Obstet Gynecol.2001,97 (3):464.
  • 2Poikkeus P,Hillesmaa V,Tiitinen A.Serum HCG 12 days after embryo transfer in predicting pregnancy outcome.Hum Reprod.2002,17(7):1901.
  • 3Schneider DT,Calaminus G,Gobei U.Diagnostic value of alphal fetoprotein and beta-human chorionic gonadotropin in infancy and childhood.Pediatr Hematol Oncol.2001,18(1):11.

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