腹腔血尿试纸HCG定性诊断异位妊娠的研究  

The diagnosis study of ectopic pregnancy by HCG qualitative analysis with urine HCG test paper in blood of abdomen cavity in intra-abdominal hemorrhage patients

作　　者：李佳平[1] 郭玉峰[1] 孙显斌[1] 李英勇[1] 

机构地区：[1]广东医学院附属医院妇产科,广东湛江524001

出　　处：《中国实验诊断学》2005年第2期277-279,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的　探讨尿试纸法腹腔血HCG定性检测诊断异位妊娠的临床价值。方法　采用尿试纸法定性检测90例腹腔内出血患者的腹腔血βHCG ,并与其尿HCG定性和血清βHCG定量分析的结果进行比较。结果　在74例异位妊娠中,腹腔血HCG定性法5～1 0min能出结果,诊断异位妊娠的特异性为1 0 0 % ,敏感性为98 .5% ,准确性为99. 0 % ,与血清βHCG定量分析结果基本一致,结合其他辅助方法能快速、准确地诊断异位妊娠,明显优于尿HCG定性。结论　对腹腔内出血患者,采用尿试纸法对腹腔血HCG定性检查能方便、快速和准确地诊断异位妊娠。此法在基层单位特别是妇科急诊中可广泛应用,有必要推广应用。Objective In order to explore the value of diagnosis ectopic pregnancy by HCG(human chorionic gonadotropin) qualitative analysis with urine HCG test paper in serum of abdomen cavity. Methods The HCG qualitative analysis in serum of intra-abdominal hemorrhage was done by urine test paper in 90 cases of intra-abdominal hemorrhage patients. Results In 74 cases of ectopic pregnancy, The specificity, sensitivity and accuracy in diagnosis of ectopic pregnancy by HCG qualitative analysis in serum of abdomen cavity were 100%, 98.5%, 99.0% respectively, were similar to serum β-HCG quantity analysis and higher than urine HCG qualitative test. Using HCG qualitative analysis in serum of abdomen cavity and with other assistant methods could accurately diagnosis ectopic pregnancy in minutes. Conclusion The HCG qualitative analysis with urine HCG paper in serum of abdomen cavity of intra-abdominal hemorrhage patients could quickly and accurately diagnosis ectopic pregnancy. This method is fast and simple. The HCG qualitative analysis in serum of abdomen cavity of intra-abdominal hemorrhage patient can be widely used in clinic emergency diagnosis.

关 键 词：异位妊娠 腹腔内出血 HCG定性 

分 类 号：R714.22[医药卫生—妇产科学]