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通过对128 例确诊妊娠或疑妊娠,而要求中止妊娠的育龄妇女行子宫内膜诊刮病检,以探子宫内膜变化对妊娠早期的诊断价值。认为子宫内膜出现胎盘绒毛和蜕膜组织,结合临床检查,尿 H C G( + ) ,血 H C G 水平> 40ng/ml, B 超示子宫腔内有孕囊,可确诊为宫内妊娠;子宫内膜病理表现腺体与间质反应不同步,但腺体仍处于增殖状态,尿 H C G( + ) ,血 H C G 水平> 40ng/ ml, B 超示子宫内膜增厚,附件有色块,应考虑宫外孕。指出妊娠早期借助子宫内膜病检有助于妊娠的确诊
Through the diagnosis of 128 cases of pregnancy or suspected pregnancy, and require termination of pregnancy in women of childbearing age endometrial curettage disease seizure to probe the endometrial changes in early pregnancy diagnostic value. Uterine endometrial placenta villi and decidual tissue that combined with clinical examination, urinary H C G (+), blood H C G levels> 40ng / ml, B ultrasound showed intrauterine gestational sac, can be diagnosed as intrauterine pregnancy The endometrial histopathology showed that glandular and interstitial reaction were not synchronized, but the gland was still in proliferative state. Urine H C G (+) and blood H C G level> 40ng / ml, B ultrasound showed endometrial thickening, Annex colored blocks, should consider ectopic pregnancy. Pointed out that early pregnancy with endometrial disease can help confirm the diagnosis of pregnancy