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目的研究盆腔积血患者β-HCG定量定性检测诊断异位妊娠的临床意义。方法标体采集经腹部或后穹穿刺抽出盆腔积血(液)对β-HCG分别进行定量定性检测,并与患者静脉血清β-HCG定量,尿β-HCG定性检测进行比较。结果异位妊娠时,盆腔积血(液)β-HCG含量显著高于血清β-HCG,而宫内妊娠时,血清β-HCG含量仍显著高于盆腔积血(液)β-HCG,111例异位妊娠患者盆腔积血(液)定性检测准确性明显高于尿β-HCG定性准确性。结论对患者盆腔积血(液)β-HCG进行定量定性联合检测可大大减少误诊率。
Objective To study the clinical significance of quantitative and qualitative detection of β-HCG in patients with pelvic hemorrhage in the diagnosis of ectopic pregnancy. Methods The collection of pelvic hemorrhage (fluid) through the abdomen or posterior dome puncture was used to quantitatively detect β-HCG, and quantitatively detected by β-HCG and β-HCG in urine. Results In ectopic pregnancy, the content of β-HCG in pelvic hemorrhage (serum) was significantly higher than that of serum β-HCG, but the content of β-HCG in intrauterine pregnancy was still significantly higher than that in pelvic hemorrhage Cases of ectopic pregnancy pelvic hemorrhage (qualitative) qualitative detection accuracy was significantly higher than the qualitative urine β-HCG accuracy. Conclusion Quantitative and qualitative detection of pelvic hemorrhage (fluid) β-HCG can greatly reduce the misdiagnosis rate.