摘要
目的:探讨14d与21d测定β-HCG对胚胎移植后妊娠结局的预测价值。方法:选择2010年1月至2015年1月收治的体外受精-胚胎移植后在我院进行复查者160例,分为4组:多胎妊娠组,单胎妊娠组,异位妊娠组和早期流产组,各40例,比较各组14d与21d血清β-HCG水平,并统计14d与21d血清β-HCG水平分布情况。结果:继续妊娠组14d与21d血清β-HCG水平均显著高于不良妊娠组(P<0.05),14d与21d血清β-HCG≥400IU/L比例,多胎组高于单胎组高于异位妊娠组和早期流产组(P<0.05),妊娠21d时血清β-HCG测定,多胎妊娠组及单胎妊娠组血清β-HCG≥400 IU/L者显著多于100~400IU/L者(P<0.05)。结论:选择14d与21d测定血清β-HCG在预测妊娠结局方面,尤其是多胎妊娠、移位妊娠与早期流产具有积极意义。
Objectives: To investigate the predictive value of β-HCG on the 14^(th) day and 21^(st) day after embryo transfer for pregnancy outcome. Methods: 160 cases of embryo transfer in our hospital were divided into four groups:multiple pregnancies group,singleton pregnancies group,ectopic pregnancy group and early abortion group,with 40 cases in each group. Serum β-HCG levels and serum β-HCG level on the 14^(th) day and 21^(st) day after embryo transfer were compared. Results: The β-HCG level of continue pregnancy group on the 14^(th) day and 21^(st) day after embryo transfer were significantly higher than adverse pregnancy group( P 0. 05). The ratio of serum β-HCG ≥ 400 IU/L in multiple pregnancies group was higher than these in singleton pregnancies group,ectopic pregnancy group and early abortion group( P 0. 05). The patients with serum β-HCG≥400 IU/L on the 21^(st) day in multiple pregnancy group and singleton pregnancy group were significantly more than patients with serum β-HCG 100 ~ 400 IU/L( P 0. 05). Conclusion: The serum β-HCG on the 14^(th) day and 21^(st) day after embryo transfer β-HCG can predict pregnancy outcome particularly,which has positive significance for multiple pregnancy,early pregnancy and miscarriage.
出处
《中国性科学》
2017年第12期116-118,共3页
Chinese Journal of Human Sexuality
基金
湖北省十堰市科学技术研究与开发项目计划(16Y87)