期刊文献+

血清β-HCG、孕酮测定对早期异位妊娠的诊断价值 被引量:11

Diagnostic Value of Combined Detection of Serum β -HCG and Progesterone in Identification of Early Ectopic Pregnancy
暂未订购
导出
摘要 目的探讨β-HCG、孕酮测定对早期异位妊娠的诊断价值.方法将2012年5月至11月来丽江市人民医院检验科就诊的门诊及住院的异位妊娠患者41例作为实验组,选取同期来院就诊的42例正常孕妇作为对照组,检测并比较其血清β-HCG、孕酮水平的差异.结果 41例异位妊娠患者血清β-HCG(177.8±285.3)IU/L、孕酮(4.1±3.5)ng/mL,与同孕龄的正常妊娠组:β-HCG(22 129.5±18 224.9)IU/L、孕酮(23.9±7.0)ng/mL相比,含量显著降低,P<0.01,差异有统计学意义.结论β-HCG、孕酮是早期诊断异位妊娠的重要指标,动态监测观察血清β-HCG,结合B超等检查,能及早确诊异位妊娠,减少漏诊与误诊. Objective To study the value of combined detection of β -HCG, progesterone in identification of early ectopic pregnancy. Methods We selected 41 outpatients and inpatients with eetopic pregnancy who admitted in our hospital from May to Novermber 2012 as the experimental group, and selected 42 normal pregnant women as control group, then detected and compared the serum β -HCG and progesterone levels. Results The serum β -HCG and progesterone concentration of 41 ectopie pregnancy patients was 177.8 ± 285.3 IU/1 and 4.1±3.5 ng/ml, respectively, significantly lower than those in 42 normal pregnant women ( β-HCG : 22129.5±18224.9IU/1, progesterone: 23.9 ± 7 ng/ml (P〈0.01). Conclusion β -HCG and progesterone are important indices for early diagnosis of ectopie pregnancy, dynamic monitoring of serum 15 -HCG, combined with B ultrasound examination, can make early diagnosis of ectopic pregnancy and reduce misdiagnosis and missed diagnosis.
作者 芮桥安
出处 《昆明医科大学学报》 CAS 2013年第2期121-122,133,共3页 Journal of Kunming Medical University
关键词 β—HCG 孕酮 异位妊娠 β -HCG Progesterone Ectopic pregnancy
  • 相关文献

参考文献7

二级参考文献29

  • 1龚健.血清孕酮水平在诊断异位妊娠中的价值[J].中华妇产科杂志,1993,28(2):100-101. 被引量:29
  • 2盛毅,薛培.孕早期血HCG的增长及孕酮值与妊娠预后关系[J].上海第二医科大学学报,1994,14(3):221-224. 被引量:10
  • 3黄树峰,姜卫国.人绒毛膜促性腺激素测定在妇产科的应用[J].中华妇幼临床医学杂志(电子版),2006,2(3):172-174. 被引量:12
  • 4杜成杰,石一复,罗勤,何晓红.血清孕酮及β-hCG测定诊断异位妊娠的价值[J].中国实用妇科与产科杂志,1997,13(1):35-36. 被引量:45
  • 5[1]Mccord ML, Muran D, Buster JE, et al. Single serum progesterone as a screen for ectopic pregnancy:exchanging specificity and sensitivity to obtain optimal test performance [J ]. FertilSteril, 1996,66(4) :513 - 516.
  • 6[2]Dart R, Dart L, Segal M, et al. The ability of a single progesterone value to identity abnormal pregnancies in patients with beta-human chorionic gonadotropin values less than 1000mIU/ml[J]. Acad Emerg Med, 1998,5(4) :304 - 309.
  • 7[3]Valley VT, Mateer JR, Aimam EJ, et al. Serun progesterone and endovaginal by emergency physicians in the evaluation of ectopic pregnancy [J ]. Acad Emerg Med, 1998, 5 (4): 309 -313.
  • 8[4]Banerjee S, Aslam N, Woelfer B, et al. Expectant management of early orancies of unknown location:a prospective evaluation of methods to predict spontaneous resolution of pregnancy[J]. Br J Obstet Gynecol,2001,108(2): 158 - 163.
  • 9[5]Alexander JM, Rouse DJ, Varner E, et al. Treatment of the small unruptured ectopic pregnancy:A Cost Analysis Of Methotrexate Versus Laparoscopy [ J ]. Obstet Gynecol, 1996,88 ( 1 ):123 -127.
  • 10[6]Wikinson C, Petrucco O, Pachulicz M, et al. Interstitial ectopic pregnancy mangement with laparoscopically guided local methotrexate infiltration[J ]. Aust N Z J Obstet Gynecol, 1998,38(4) :434 - 437.

共引文献233

同被引文献79

  • 1李雪平.孕酮和血β-HCG测定结合超声检查对输卵管妊娠诊治价值的探讨[J].求医问药(下半月),2013(9):296-297. 被引量:5
  • 2尚艳红,范银芬.阴道超声联合血清β-HCG、孕酮检测在早期易误诊的宫内妊娠与异位妊娠鉴别诊断中的价值[J].中国妇幼保健,2007,22(27):3874-3875. 被引量:8
  • 3陈峻,邵芳,王慧,等.血清β-HCG和孕酮联检在早期异位妊娠的临床应用[J].放射免疫学杂志,2012, 25 (4): 471.
  • 4谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:118-119.
  • 5Warrick J, Gronowski A, Moffett C, et al. Serum activin A does not predict ectopic pregnancy as single measurement test, also or as part of a multi-marker panel including progesterone and HCG [ J ]. Clin Chim Acta,2012 ,413 (7-8) :707-711.
  • 6Sivalingam VN,Duncan WC,Kirk E,et al.Diagnosis and management of ectopic pregnancy[J].J Fam Plann Reprod Health Care,2011,37(4):231-240.
  • 7Veena P.Use of mifepristone along with methotrexate in medical management of unruptured ectopic pregnancy[J].J Obstet Gynaecol,2011,31(7):667-670.
  • 8Kirby JM,Cho KJ,Midia M.Image-guided intervention in management of complications of portal hypertension:more than TIPS for success[J].Radiographics,2013,33(5):1473-1496.
  • 9Stulberg DB, CainLR, Dahlquist I, et al. Ectopic pregnancy rates in the Medicaid population[J]. Am J Obstet Gynecol, 2013,208 (4) :274. el.
  • 10Kirk E,Papageorghiou AT,Condous G, et al. The diagnostic ef- fectiveness of an initial transvaginal scan in detecting ectopic pregnancy[J]. Hum Reprod, 2007,22 (11) : 2824.

二级引证文献66

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部