血清β-HCG孕酮联合B超测定对早期异位妊娠诊断的价值研究

The Diagnostic Value of Serum β-HCG Progesterone and B Ultrasonography in early Ectopic Pregnancy

目的:探讨血清β-HCG、孕酮联合B超测定对早期异位妊娠诊断的临床价值。方法:选取本院收治的62例异位妊娠患者作为观察组,另选取同期进行体检的62例正常妊娠者作为对照组。记录两组孕妇血清β-HCG、孕酮及子宫内膜厚度,同时比较单项检测与联合检测的诊断符合率。结果:观察组血清β-HCG、孕酮均低于对照组,且子宫内膜厚度明显低于对照组,差异有统计学意义(P<0.05)。同时血清β-HCG、孕酮联合B超测定的诊断符合率明显高于单项检测,差异有统计学意义(P<0.05)。结论:动态监测血清β-HCG与孕酮并结合B超监测对于及早发现异位妊娠更具优越性,可减少漏诊与误诊,在早期异位妊娠诊断中具有重要价值。

Objective： To investigate the diagnostic value of serum β-HCG, progesterone and B ultrasonography in early diagnosis of ectopic pregnancy. Method： 62 cases of patients with ectopic pregnancy treated in our hospital were selected as the observation group, and 62 healthy pregnancy in the same period were selected as control group. The serum β-HCG, progesterone and endometrial thickness was recorded, at the same time, the diagnostic accordance rate of single detection and joint detection was compared. Result： The serum β-HCG, progesterone and endometrial thickness of observation group was lower than the control group, the difference was statistically significant （ P 〈 0.05 ）. While coincidence rate of combined diagnosis of β-HCG, progesterone and Bultrasonography was obviously higher than that of single detection, the difference was statistically significant （P 〈 0.05） .Conclusion： Dynamic monitoring of β-HCG, progesterone and B uhrasonography for early detection of ectopic pregnancy could reduce misdiagnosis, which has important value in early diagnosis of ectopic pregnancy.