B超、β-hCG监测及孕激素、甲状腺素水平测定在早期先兆流产中的应用

Application of B-type Ultrasonography,Monitoring of β-HCG,Thyroid Hormones and Progestin Early Threatened Abortion Patients

目的探讨B超、β-hCG的监测及孕激素、甲状腺素水平测定在早期先兆流产中的应用。方法83例先兆流产患者,采用B超、β-hCG的监测及孕激素、甲状腺素水平测定找出先兆流产的部分病因、指导用药并作为早期先兆流产保胎效果评估的重要指标。结果子宫畸形2例、子宫肌瘤1例,2例合并甲状腺功能低下,58例保胎成功。结论早期先兆流产的病因复杂,B超、β-HCG的监测及孕激素、甲状腺素水平测定等可找出病因,针对病因治疗,同时动态检测孕酮及B超动态观察孕囊,了解疗效,避免盲目性。

Objective To study the application of B -type ultrasonography, monitoring of β- HCG , thyroid hormones and progestin in early threatened abortion patients. Methods In 83 patients of threatened abortion treated in Affiliated Hospital of Hubei Institute for Nationalities between August 2004 and July 2006, B - type ultrasonography, monitoring of β - HCG, thyroid hormones and progestin were applied to find out some of the causes, to guide medicine principles and as an important index of evaluation of the effect of tocolysis in early threatened abortion. Results Two cases of uterus malformation; one case of uterine fibroids ; 58 cases of successful fetus preservation. Conclusion The causes of threatened abortion are complicated, so B -type ultrasonography, monitoring of β -HCG, thyroid hormones and progestin should be ap- plied to find out the causes and to treat accordingly. And blindness can be avoided, with dynamic monitoring of progesterone and dynamic observation of foetus sack by B -type ultrasonagraphy to observe the effect of treatment.