静脉血与腹腔血β-HCG定量对鉴别腹腔出血类型的临床价值  

The clinical Value of β-HCG with quantitative in abdominal and venous in diagnosis of intra-abdominal hemorrhage

作　　者：汤桂英 何芳[1] 陈欣[1] 

机构地区：[1]绵阳市人民医院妇产科,四川绵阳621000

出　　处：《西部医学》2012年第10期1937-1938,共2页Medical Journal of West China

摘　　要：目的探讨静脉血与腹腔血β-HCG定量检测在诊断异位妊娠中的临床价值。方法对65例以腹腔内出血入院的患者进行系统回顾性研究,采用血清化学发光法定量检测腹腔血β-HCG和静脉血β-HCG值,并对结果进行比较分析。结果确诊为异位妊娠患者62例,其腹腔内血β-HCG明显高于静脉血,差别有统计学意义(P<0.01),其确诊率为100%;另外3例中1例为妊娠合并黄体破裂,其腹腔血值稍低于静脉血无统计学差异(P>0.05);2例为黄体破裂,腹腔血与静脉血均为阴性。腹腔血β-HCG值的高低与腹腔出血量无统计学差异(P>0.05)。结论腹腔血联合静脉血查β-HCG能提高异位妊娠诊断率,对鉴别腹腔内出血的类型有临床应用价值,值得临床推广。Objective To explore the diagnosis value of ectopic pregnancy by β-HCG（hunman chorionic gonadotropin） quantitative analysis with vein and intra-abdominal hemorrhage.Methods 60 patients with intra-abdominal hemorrhage were retrospectively analyzed.Results 62 patients with ectopic pregnancy were diagnosed.Theβ-HCG of abdominal cavity blood was significantly higher than that of serum（P〈0.01）.Abdominal blood level of β-HCG values were no correlated with intra-abdominal bleeding.Conclusion It is significant for β-HCG in intra-abdominal hemorrhage and vein in diagnosing ectopic pregnancy.

关 键 词：异位妊娠 静脉血 腹腔血 血Β-HCG 

分 类 号：R714.22[医药卫生—妇产科学]