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作者收治181例无症状可疑宫外孕(既往有宫外孕或不孕史),其中51例最初 hCG<10IU/L 为非妊娠,28例最初 hCG>4,000IU/L 不再测 hCG 改用 B 超检查,余下102例中60例最初 hCG 介于10～4,000IU/L,以后下降,提示胎儿死亡,大部分行刮宫或腹腔镜检查,余下42例最初 hCG10～4,000IU/L,其后上升,致诊断困难,配合临床仔细监护确诊。阴道 B 超如显示正常发育的胎儿包括孕8周时有心跳为正常宫内孕(22例)。宫外孕(19例)的诊断依据腹腔镜,多数病人又继以开腹探查,不论何种手术病理均证实有子宫外的滋养层细胞。hCG 测定:血清存于-20℃7天,按 Pette-
The authors admitted 181 cases of asymptomatic suspicious ectopic pregnancy (previous ectopic pregnancy or infertility history), of which 51 cases of initial hCG <10IU / L is non-pregnancy, 28 cases of initial hCG> 4,000IU / L no longer measured hCG switch to B-ultrasound, Of the remaining 102 cases, 60 had initial hCG between 10 and 4,000 IU / L and subsequently decreased, indicating a fetal death, most of them undergoing curettage or laparoscopy. The remaining 42 patients initially had an initial hCG of 10 to 4,000 IU / L and subsequently increased, causing diagnosis Difficulties, with careful monitoring of clinical diagnosis. Vaginal B ultrasound as shown normal development of the fetus, including pregnancy at 8 weeks have normal intrauterine pregnancy (22 cases). Ectopic pregnancy (19 cases) based on the diagnosis of laparoscopy, most patients followed by open exploration, regardless of what kind of surgical pathology have confirmed extrauterine trophoblast cells. hCG determination: serum stored at -20 ℃ for 7 days, according to Pette-