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目的:探讨动态监测血清孕酮及血β-HCG在稽留流产诊断中的临床意义。方法:通过对300例停经35~70天孕妇血清孕酮及血β-HCG的研究,分析正常妊娠组、先兆流产组、稽留流产组血清孕酮及血β-HCG动态变化。结果:先兆流产继续妊娠组血清孕酮及血β-HCG均低于正常妊娠组(P<0.05),稽留流产组的血清孕酮及血β-HCG均明显低于正常妊娠组(P<0.01)。结论:血清孕酮与β-HCG值联合测定是诊断稽留流产的重要指标,停经早期动态监测血清孕酮与β-HCG值可预测妊娠结局,及时发现稽留流产,指导临床合理治疗。
Objective: To investigate the clinical significance of dynamic monitoring serum progesterone and blood β-HCG in the diagnosis of missed abortion. Methods: The changes of serum progesterone and β-HCG in normal pregnancy group, threatened abortion group and missed abortion group were analyzed through the study of serum progesterone and blood β-HCG in 300 pregnant women 35-30 days after menopause. Results: Serum progesterone and blood β-HCG levels were significantly lower in the pregnant women with threatened abortion than those in the normal pregnancy group (P <0.05). Serum progesterone and β-HCG in the missed abortion group were significantly lower than those in the normal pregnancy group (P <0.01) ). Conclusion: The combination of serum progesterone and β-HCG is an important index in the diagnosis of missed abortion. Serum progesterone and β-HCG in early postmenopausal women can predict the outcome of pregnancy and find aborted abortion in time to guide clinical rational treatment.