血清孕酮与β-HCG联合测定在异常妊娠早期诊断中的价值

The Value of the Serum Progesterone and β-HCG in the Early Diagnosis of Ectopic Pregnancy

目的探讨血清孕酮与人绒毛膜促性腺激素β亚单位(β-HCG)联合测定在异常妊娠早期诊断中的价值。方法选择异常妊娠患者232例,根据妊娠结局分为先兆流产组(149例)、稽留流产组(51例)和异位妊娠组(32例),监测各组血清孕酮与β-HCG。结果先兆流产组孕酮值,明显高于稽留流产组(P<0.01),高于异位妊娠组(P<0.05);先兆流产组β-HCG值明显高于稽留流产组和异位妊娠组(P<0.01)。结论血清孕酮与β-HCG联合测定可作为早期诊断异常妊娠的一种手段。

Objective To analyze the value of the serum progesterone and β-HCG in the early diagnosis of ectopic pregnancy. Methods Serum progesterone and β-HCG were assayed of 2132 patients who were suspected to be ectopic pregnancy. On the basis of result of pregnancy the patients were divided into three groups： ectopic pregnancy, threatened abortion and missed abortion. Results The progesterone level of threatened abortion group was obviously higher than that of missed abortion groups （ P 〈 0.01 ）, and higher than that of ectopie pregnancy groups （ P 〈 0. 05）. The β-HCG level of threatened abortion group was obviously higher than that of the other two groups （ P 〈 0.01 ）. Conclusion Combined determination of the serum progesterone and β-HCG can be considered as an early diagnostic method of ectopie pregnancy.