阴道超声联合血清绒毛膜促性腺激素检查用于输卵管妊娠药物治疗临床分析

Clinical Analysis of Transvaginal Ultrasound Examination Combined with Blood β-HCG Detection in Drug Treatment of Tubal Pregnancy

目的观察阴道超声检查联合血清绒毛膜促性腺激素(β-HCG)检测应用于输卵管妊娠药物治疗中的临床价值。方法回顾性分析医院2012年11月至2016年10月收治的45例输卵管妊娠患者的病历资料。结果 45例输卵管妊娠患者在接受治疗前后血β-HCG及包块血流水平等相关指标中存在显著性统计学差异(P<0.05);治疗前,血β-HCG平均水平为(29.31±7.59)U/L,治疗后为(8.43±1.81)U/L,治疗前后差异显著(P<0.05)。结论对输卵管妊娠患者同时进行阴道超声检查与血β-HCG检测,有利于提高临床对输卵管妊娠患者药物疗效的评判准确度。患者超声检查血流分级及血β-HCG检测中的各项指标越高,表明患者滋养动脉血流阻力指数越小,药物治疗效果不可观,需进行手术治疗。

Objective To observe the clinical effect of transvaginal ultrasound examination combined with blood β-HCG detection in drug treatment of tubal pregnancy. Methods The clinical records of 45 patients with tubal pregnancy admitted to our hospital from November 2012 to October 2016 were analyzed retrospectively. Results There were significant statistical differences in the levels of blood β-HCG and the blood flow rate of masses and other related indexes before and after treatment in 45 patients with tubal pregnancy（ P〈0. 05）. The average level of blood β-HCG before treatment was（ 29. 31 ± 7. 59） U/L before treatment, and（ 8. 43 ±1. 81） U/L after treatment, the difference was statistically significant（ P〈0. 05）. Conclusion Transvaginal ultrasound examination combined with blood β-HCG detection for patients with tubal pregnancy is helpful to improve the clinical evaluation accuracy of the efficacy of drugs in tubal pregnancy. The higher the indexes of ultrasound examination,blood flow classification and blood β-HCG detection,the lower the nutrient flow resistance index of patients,and the effect of drug treatment is not satisfactory,so it is necessary to undergo surgical treatment.