腹腔血β-人绒毛膜促性腺激素定量检测在异位妊娠诊断中的临床价值

Patients with ectopic pregnancy hemorrhage diagnosed by quantity analysis of β- human chorionie gonadctropin in intra-abdominal blood

目的探讨腹腔血β-人绒毛膜促性腺激素（β-HCG）的定量检测对异位妊娠的诊断价值。方法采用酶促放大化学发光免疫分析法检测44例腹腔血患者β—HCG的水平，并对结果进行t检验。结果异位妊娠者腹腔血β—HCG水平[（3916．4_＋197．1）IU／L]显著高于静脉血β—HCG[（809．4_＋78．8）IU／L]，有统计学意义（t=15．28，P〈0．01）；与正常妊娠者静脉血β—HCG[（1287．3±455．3）IU/L]比较，也有统计学意义（t=10．21，P〈0．01）；其阳性准确率可达100％。结论对异位妊娠并有腹腔出血的患者，采用腹腔血检测β—HCG水平诊断异位妊娠，简便、快速、准确，值得临床推广。

Objective To explore the value of intra-abdominal blood β-human chorionic gonadotropin （β-HCG） for diagnosis of ectopic pregnancy. Methods β-HCG levels in intra-abdominal of 44 cases were detected by chemical shine immunoassay. Results The level of β-HCG in intra-abdominal blood （3916.4± 197.1） IU/L is obviously higher than that of the serum （809.4±78.8）IU/L; and compare to the serum of common pregnancy （1287.3 ±455.3）IU/L both of them have significance; and accuuracy ratio was nearly 100%. Conclusion The patients with ectopic pregnancy hemorrhage diagnosed by the quantity analysis of the β-HCG in intra-abdominal is simple, quick and accurate. And the method is worth widely using in clinical.