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目的观察术前血清孕酮水平在预测输卵管妊娠行保守手术后持续性输卵管妊娠穴persistentectopicpreg鄄nancy,PEP雪发生中的价值。方法对确诊为异位妊娠行腹腔镜下输卵管保守手术的住院患者50例,在术前24h内及术后第1、3、7、14天测定血清孕酮穴progesterone,P雪和人绒毛膜促性腺激素穴β-HCG雪水平至正常,用受试者工作特性曲线穴receiveroperatorcharacteris鄄ticcurve熏ROC雪确定用于预测PEP发生的最佳临界点穴bestcriticalpoints雪。结果50例患者中,PEP组9例,未发生持续性异位妊娠穴NonePEP雪组41例。术前PEP组P均值12.28ng/ml,NPEP组P均值6.42ng/ml,经t检验,P<0.05;其中术前血清孕酮>10ng/ml,术后发生PEP的危险性明显升高。结论术前血清孕酮水平对异位妊娠能否行保守手术的决策有一定的参考价值。
Objective To observe the value of preoperative serum progesterone in predicting the incidence of persistent tubal pregnancy after conservative surgery for tubal pregnancy persistentectopicpreg Juan nancy, PEP. Methods Fifty hospitalized patients with laparoscopic tubal conservative surgery diagnosed as ectopic pregnancy were enrolled in this study. Serum progesterone, progesterone, P-snake and human chorion Gonadotropin hole β-HCG snow level to normal, using the receiver operating characteristic curve receiveroperatorcharacteris-ticcurve smoked ROC snow to determine the best critical pits for predicting the occurrence of PEP bestcriticalpoints snow. Results Of the 50 patients, 9 were in the PEP group and 41 in the NonePEP group without persistent ectopic pregnancy. Preoperative PEP group P mean 12.28ng / ml, NPEP group P mean 6.42ng / ml, t test, P <0.05; preoperative serum progesterone> 10ng / ml, postoperative PEP risk was significantly higher. Conclusion Preoperative serum progesterone levels for ectopic pregnancy can be conservative surgery decisions have some reference value.