摘要：目的：探讨异位妊娠(EP)患者外周血及腹腔游离血孕酮(P)的变化规律及临床意义。方法：用放免法测定EP患者外周血、腹腔游离血P及β-HCG含量，并以正常宫内妊娠血清P及β-HCG做为对照组。结果：EP组的血清P含量显著低于宫内妊娠组；EP患者腹腔游离血P、外周血P越高，腹腔内出血越多(P<0.001)。结论：外周血及腹腔游离血孕酮在异位妊娠的发生、发展及早期诊断中有重要作用。

    关键词：异位妊娠(EP)；孕酮(P)；绒毛膜促性腺激素β亚单位(β-HCG)；正常妊娠

    Diagnostic Value in Ectopic Pregnancy of Peripheric Blood and Dissociating Blood Progesterone in the Abdominal Cavity

    WANG Ying, HU Rui-xia, LI Su-jie

    (The First Affiliated Hospital, Medical College, Shantou University, Guangdong Shantou 515041, China)

    Abstract: Objective: To discuss the changing regularity and clinical significance of the patients with ectopic pregnancy of peripheric blood and dissociating blood progesterone in the abdominal cavity. Method: 35 EP patients were detected for the content of progesterone and β- HCG in peripheric blood and hemoperitoneum by radioimmunoassay, and contrasted to that of the group with normal pregnancy. Result: The content of EP group’s serum P is remarkably lower than that in the normal pregnant group; the higher EP patients in dissociating hemoperitoneum P and peripheric blood P, the more the hemorrhage in the abdominal cavity (P < 0.001). Conclusion: Peripheric blood and dissociating blood progesterone in the abdominal cavity play an important role in the occurrence, development, and early diagnosis of ectopic pregnancy. ......