血清β-HCG、孕酮联合B超测定对早期异常妊娠诊断价值探讨  

Exploration of diagnostic value of serum β-HCG,progesterone and B-ultrasonography on differentiating early abnormal pregnancy disease

作　　者：林津 马炎辉[2] 谢红斌 柴冬宁 

机构地区：[1]福建省厦门市妇幼保健院妇科,361003 [2]福建医科大学附属第一医院妇产科

出　　处：《中国妇幼保健》2008年第36期5170-5172,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨血清β-HCG、孕酮联合B超测定综合判断先兆流产、稽留流产与异位妊娠三种早期异常妊娠疾病,尽早明确诊断,及时正确处理。方法:对356例早期异常妊娠的病例动态检测血β-HCG及孕酮值,并行B超检查。结果:先兆流产组血清β-HCG及孕酮值高于稽留流产组及异位妊娠组。三种疾病B超检查结合血清β-HCG及孕酮值,可提高诊断率。结论:联合检测血清孕酮与β-HCG值,结合B超检查,提高临床诊治早期异常妊娠疾病的准确率。Objective： To explore the diagnostic value of serum β- HCG, progesterone and B - ultrasonography in diferential diagnosis among threatened abortion, ectopic pregnancy （EP） and missed abortion. Methods： The serum β -HCG, progesterone level and B - ultrasonography were measured in 355 early abnormal pregnancy patients. Results： The serum level of serum β - HCG and progesterone of threatened abortion patients were significantly higher than those with ectopic pregnancies and missed abortion （ P 〈 0. 01 ）. The serumβ- HCG and progesterone level, combined with B - ultrasonography, enhanced diagnostic value. Conclusion： The serum level ofβ- HCG and progesterone, combined with B - ultrasonography can help to diagnose early abnormal pregnancy disease exactly.

关 键 词：异位妊娠 先兆流产 稽留流产 β—HCG孕酮 

分 类 号：R714.22[医药卫生—妇产科学]