宫外孕后穹窿穿刺血中HCG定量检测的临床应用价值  

The clinical application importance of quantificational detection to blood serum HCG of back fornix in patients with ectopic pregnancy

作　　者：孙晓丽[1] 褚建国[2] 侯朝晖[3] 任琳[3] 杨航燕[1] 宋颖[1] 

机构地区：[1]空军总医院核医学科,北京100036 [2]空军总医院放射科,北京100036 [3]空军总医院妇产科,北京100036

出　　处：《空军总医院学报》2003年第4期216-217,共2页Journal of General Hospital of Air Force,PLA

摘　　要：目的　探讨宫外孕输卵管妊娠破裂后腹腔内出血患者阴道后穹窿穿刺血HCG定量检测在临床应用价值 ,并对这一检测方法进行评价。　方法　 2 0 0 1年 11月至 2 0 0 3年 6月资料完整的宫外孕输卵管妊娠破裂后腹腔内出血患者 2 8例 ,停经时间 4 0～ 6 8d ,后穹窿穿刺抽出不凝血 3～ 5ml,同时抽取静脉血 2ml均为研究组 ,与 30例正常健康人未受孕者和 36例正常妊娠 4 0～ 70d者静脉血进行对照。　结果　宫外孕输卵管妊娠破裂患者后穹窿穿刺血中HCG的水平明显高于其静脉血HCG的水平 (P <0 .0 1) ,明显低于正常妊娠组HCG水平 (P <0 .0 1) ,高于 30例正常未受孕组HCG水平 (P <0 .0 1)。　结论　后穹窿穿刺血HCG定量检测能显著提高宫外孕的诊断率 ,可对宫外孕的及早发现、及时治疗提供理论依据。Objective Probe into the clinical application importance of quantificational detection to blood serum HCG of back fornix in patients with ectopic pregnancy ectopic pregnancy ruptured celiac internal bleeding. and to examination the technique. Methods 2001 November to 2003 June 28 patients with fallopian tube gestation damaged celiac internal bleeding in data completely. 40～68 days in gestation, phlebotomize of back fornix 3～5 ml, at the same time vein blood 2 ml all for study group, with 30 healthy did not conceive and with 40～70 days of 36 normal gestations control experiment. Results The blood serum HCG of back fornix in patients with ectopic pregnancy ectopic pregnancy ruptured celiac internal bleeding is obvious higher than its vein blood HCG level (P<0.01), and markedly lower than normal gestations HCG level (P<0.01), higher than normal did not conceive HCG level (P<0.01). Conclusion Quantificational detection to the blood HCGof back fornix can improve the diagnosis rate and can discovers early to the ectopic pregnancy, on time the treatment provides the theories base.

关 键 词：宫外孕 后穹窿穿刺血 HCG 定量检测 输卵管妊娠 后腹腔内出血 人绒毛膜促性腺激素 

分 类 号：R714.221[医药卫生—妇产科学] R446.112[医药卫生—临床医学]