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目的:探讨动态监测B超、β-hCG、孕酮对早期先兆流产预测价值。方法:动态监测380例早期先兆流产患者B超、β-hCG、孕酮的变化,以了解流产的病因并评价预后。结果:318例保胎成功,继续妊娠;62例流产。流产组血清孕酮、β-hCG值低于继续妊娠组,动态检测血清孕酮、β-hCG无升高或升高速度极慢;流产组54例B超发现胚囊变形、胎心消失。结论:B超动态监测、β-hCG、孕酮可作为早期先兆流产预后的评价指标。
Objective: To investigate the predictive value of dynamic monitoring of B-ultrasound, β-hCG and progesterone on early threatened abortion. Methods: The changes of B-ultrasound, β-hCG and progesterone in 380 cases of early threatened abortion were dynamically monitored to find out the cause of miscarriage and evaluate the prognosis. Results: 318 cases of miscarriage success, continued pregnancy; 62 cases of abortion. The level of serum progesterone and β-hCG in abortion group was lower than that of the continuous pregnancy group. The level of serum progesterone was detected dynamically. There was no increase or increase of β-hCG in abortion group. Conclusion: B-ultrasound, β-hCG and progesterone can be used as the prognostic indicators of early threatened abortion.