异位妊娠血HCG与孕酮变化的关系(1)
 |
| 第1页 |
参见附件。
[摘要]目的 探讨HCG与孕酮在异位妊娠及正常妊娠组中不同孕周的变化情况，并以此为依据评价此两种指标。方法 选择39例异位妊娠患者和48例正常妊娠妇女，再根据孕期不同将其分为三个亚组，检测各组患者血清中HCG和孕酮的含量。 结果 以正常妊娠组做对比，在各孕期异位妊娠组血清孕酮都较低(P < 0.05)，HCG水平在孕5周和孕6周时较低(P < 0.05)；两组中HCG水平随孕期增加而上升(P < 0.05)，而孕酮水平并未发生明显变化(P > 0.05)。结论 相比血清中HCG水平，孕酮含量的检测可更早地诊断异位妊娠，同时诊断效果更高。
[关键词] HCG；孕酮；异位妊娠
[中图分类号] R714.22 [文献标识码] B [文章编号] 1673—9701(2012)26—0149—02
Change relationships between HCG and progesterone level in blood in ectopic pregnancy
HUANG Jianhua
Department of Obstetrics and Gynecology，Luchuan County People’s Hospital，Luchuan 537700，China
[Abstract] Objective To investigate the change in HCG and progesterone level of ectopic pregnancy group and normal pregnancy group in blood in different gestational weeks，and to evaluate these two indices. Methods 39 cases of ectopic pregnancy and 48 cases of normal pregnancy were selected，and divided into three subgroups. The level of HCG and progesterone in blood were detected. Results Compared with the normal pregnancy group，in ectopic pregnancy group， progesterone level was lower in each gestational weeks (P < 0.05)， and HCG was at the lower level in the 5th and 6th gestational weeks(P < 0.05). HCG level was increased， while progesterone level showed no changes as the gestational week increased in both of these groups. Conclusion Compared with HCG， the detection of progesterone level could help clinicians to diagnose ectopic pregnancy more early， and it has better effect on diagnosis.
[Key words] HCG； Progesterone；Ectopic pregnancy
受精卵在子宫体腔以外着床称为异位妊娠，根据受精卵着床的部位不同分为输卵管妊娠、卵巢妊娠和腹腔妊娠等，是妇产科常见的急腹症之一，发病率约为1/100，是孕产妇死亡的常见原因之一。停经、腹痛及阴道流血等为其典型症状，早期诊断很重要。目前，临床中多以人绒毛膜促性腺激素(human chorionic gonadotropin，HCG)测定作为早期诊断异位妊娠的重要方法[1] ......
您现在查看是摘要介绍页，详见PDF附件(3236kb)。