论文部分内容阅读
测定了１０１例异位妊娠（ＥＰ）、４９例正常宫内孕（ＮＩＵＰ）、２４例先兆流产（ＴＡ）及３２例难免流产（ＩＡ）妇女血清孕酮（Ｐ）和β－ｈＣＧ水平及２６例ＥＰ妇女间隔４８～７２小时的血清β－ｈＣＧ水平。结果：血清Ｐ水平均值在ＥＰ与ＮＩＵＰ或ＴＡ组间有非常显著差异（Ｐ＜０．００１），在ＥＰ与ＩＡ组间及未破裂型ＥＰ（ＵＲＥＰ）与破裂型ＥＰ（ＲＥＰ）组间的差异无显著性（Ｐ＞０．０５）。以血清Ｐ４９．２ｎｍｏｌ／Ｌ为临界值筛选ＥＰ与ＮＩＵＰ、ＴＡ、ＩＡ，其敏感性为９３．１％，特异性分别为７５．５％、８３．３％、２１．２％。血清β－ｈＣＧ水平均值在ＵＲＥＰ与ＲＥＰ组间亦有非常显著差异（Ｐ＜０．００１）。２６例ＥＰ患者间隔４８～７２ｈ血清β－ｈＣＧ水平上升率均＜６０．０％。指出血清Ｐ测定对ＥＰ与ＮＩＵＰ及ＴＡ筛选的价值大，并认为血清β－ｈＣＧ接近８０００ＩＵ／Ｌ的ＥＰ患者，应视为有破裂高危的病例。
The serum levels of progesterone (P) and β-hCG in 101 cases of ectopic pregnancy (EP), 49 cases of normal intrauterine pregnancy (NIUP), 24 cases of threatened abortion (TA) and 32 cases of inevitable abortion Example EP Serum β-hCG levels in women 48 to 72 hours apart. Results: There was a significant difference (P <0.001) between the mean serum P level and the NIUP or TA group, between the EP group and the IA group, and between the unruptured EP (UREP) and the ruptured EP (REP) There was no significant difference (P> 0.05). The serum P49.2nmol / L as the cutoff value of screening EP and NIUP, TA, IA, the sensitivity was 93.1%, the specificity was 75.5%, 83.3%, 21.2%. Serum β-hCG levels were also significantly different between the UREP and REP groups (P <0.001). The serum β-hCG levels in 26 patients with EP at 48-72h were all higher than 60.0%. Pointed out that serum P determination of EP and NIUP and TA screening of large value, and that serum β-hCG close to 8000IU / L of EP patients should be considered as a high risk of rupture cases.