腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎对异位妊娠患者卵巢功能和血清inhibin-A的影响

目的分析腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎对异位妊娠患者卵巢功能和血清抑制素-A(inhibin-A)的影响。方法选择2021年2月—2023年3月本院收治的82例异位妊娠患者作为研究对象,按照随机数表法分为研究组与对照组两组,每组各41例。对照组采用腹腔镜下保留输卵管妊娠病灶清除术治疗,研究组则采用腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎治疗,对比两组临床疗效。结果研究组卵巢动脉舒张末期血流速度(EDV)、人绒膜促性腺激素(HCG)、促卵泡激素(FSH)、黄体生成素(LH)与inhibin-A水平高于对照组,且卵巢动脉血流阻力指数(RI)与收缩期峰值血流速度(PSV)、术后并发症发生率和异位妊娠复发率低于对照组,术中出血量少于对照组,住院时间和手术时间均短于对照组(P<0.05)。结论腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎在异位妊娠中的临床治疗效果较好,能够促进患者卵巢功能恢复,纠正内分泌激素水平紊乱,进而改善预后,治疗安全性和实用性较高。

孕妇孕中期血清PAPP-A联合Inhibin-A水平预测出生缺陷的临床价值

目的:探讨孕中期孕妇血清妊娠相关蛋白A(PAPP-A)、抑制素A(Inhibin-A)表达水平及其预测出生缺陷的临床价值。方法:收集本院2021年1月—2024年5月定期产前检查并分娩的孕妇临床资料,其中妊娠结局为胎儿结构异常孕妇86例(异常组),妊娠结局为正常新生儿的孕妇90例(对照组),比较两组血清PAPP-A、Inhibin-A水平,Pearson分析异常组血清PAPP-A、Inhibin-A水平相关性,logistic分析发生出生缺陷的影响因素,受试者工作特征曲线分析血清PAPP-A联合Inhibin-A预测出生缺陷的临床价值。结果:异常组血清PAPP-A(7.33±1.48 ng/ml)低于对照组(9.56±1.74 ng/ml),Inhibin-A(478.25±93.48 pg/ml)高于对照组(365.87±81.51 pg/ml)(均P<0.05),异常组血清PAPP-A与Inhibin-A呈负相关(r=-0.340,P=0.001),异常组服用叶酸占比低于对照组,孕早期呼吸道感染、孕期贫血、饲养动物、吸烟占比均高于对照组(均P<0.05);服用叶酸、血清PAPP-A升高是出生缺陷发生的保护因素,孕早期呼吸道感染、孕期贫血、吸烟、血清Inhibin-A升高是出生缺陷发生的危险因素(均P<0.05)。血清PAPP-A预测出生缺陷的曲线下面积(AUC)为0.802,敏感性79.1%、特异性80.0%;血清Inhibin-A预测出生缺陷的AUC为0.803,敏感性74.4%、特异性81.1%,血清PAPP-A联合Inhibin-A预测出生缺陷的AUC为0.874,敏感性91.9%、特异性75.6%(P<0.05)。结论:孕妇孕中期血清PAPP-A降低、Inhibin-A水平升高不利于胎儿正常生长发育,孕中期血清PAPP-A联合Inhibin-A预测出生缺陷临床价值提高,提示临床未来可能用于出生缺陷的临床预测。

应用组织芯片技术研究A103和Inhibinα在肾上腺皮质腺瘤中的表达

目的 研究 A10 3及 Inhibinα在肾上腺皮质腺瘤中的潜在诊断价值并探讨组织芯片技术应用的可行性。方法 制备肾上腺组织芯片 ,含 79例样本 ,其中正常肾上腺 3例 ,肾上腺皮质腺瘤 66例 ,肾上腺转移癌 5例 ,嗜铬细胞瘤 5例。用免疫组织化学 Envision法检测 A10 3及 Inhibinα的表达。结果 免疫组织化学染色 A10 3阳性率分别为正常肾上腺皮质 10 0 % ( 3 / 3 ) ,肾上腺皮质腺瘤 90 .2 % ( 5 5 / 61) ,肾上腺转移癌 0 % ( 0 / 4) ,嗜铬细胞瘤0 % ( 0 / 4) ;Inhibinα在正常肾上腺皮质中 10 0 %表达 ,阳性部位主要在网状带与束状带内层 ,肾上腺皮质腺瘤阳性率 83 .6% ( 5 1/ 61) ,肾上腺转移癌 0 % ( 0 / 4) ,嗜铬细胞瘤 0 % ( 0 / 4)。结论 A10 3及

CA199、Inhibin A及Vimentin联合检测在卵巢癌鉴别诊断中的应用

目的探讨CA199、Inhibin A及Vimentin联合检测在卵巢癌鉴别诊断中的价值。方法选取123例疑似卵巢癌患者,其中经术后病理确诊为卵巢癌患者74例,卵巢良性病变患者49例。采用酶联免疫吸附法(ELISA)检测所有受试者血清中CA199表达水平,免疫组织化学法检测肿瘤组织中Inhibin A及Vimentin表达情况。以病理诊断结果为金标准,分析各指标单项以及联合诊断卵巢癌效能。结合Logistic回归分析,绘制ROC曲线并计算及比较曲线下面积(AUC)评价各指标单项及联合检测的诊断价值。结果卵巢癌患者血清中CA199水平较卵巢良性病变患者升高(P<0.05),组织中Inhibin A和vimentin阳性表达率较较卵巢良性病变患者升高(P<0.05)。三项联合诊断卵巢癌的灵敏度为93.24%,特异度为87.76%,准确度为91.06%。三项联合检测卵巢癌的灵敏度与准确度均显著高于各单项指标诊断,差异有统计学意义(P<0.05);特异度也均高于各单项指标诊断,但与Vimentin单项诊断相比差异无统计学意义(P>0.05)。CA199、Inhibin A和vimentin单项检测卵巢癌时ROC曲线下面积(AUC)分别为0.782、0.752、0.775,明显低于三者联合检测的ROC曲线下面积0.877(P<0.05)。Logistic回归分析结果显示,CA199、Inhibin A和vimentin均是卵巢癌的独立影响因素。结论联合检测CA199、Inhibin A及vimentin可提高卵巢癌诊断的敏感度及特异性,对卵巢癌诊断有较好的应用价值。

Syn、CgA、melan A和inhibin α在肾上腺皮质腺瘤及嗜铬细胞瘤中的表达及意义

目的分析Syn、CgA、melan A和inhibinα在肾上腺皮质腺瘤及肾上腺嗜铬细胞瘤中的表达情况,探讨这组抗体对肾上腺皮质腺瘤及肾上腺嗜铬细胞瘤的诊断与鉴别诊断的意义。方法采用免疫组化方法检测70例肾上腺皮质腺瘤及57例肾上腺嗜铬细胞瘤中Syn、CgA、melan A和inhibinα的表达情况。结果 Syn、CgA、melan A和inhibinα在肾上腺皮质腺瘤中的阳性率分别为87.1%、8.6%、80%和91.4%,而在肾上腺嗜铬细胞瘤中的阳性率分别为91.2%、100%、0和0。结论 Syn、CgA、melan A和inhibinα联合检测对提高肾上腺皮质腺瘤及肾上腺嗜铬细胞瘤的诊断准确性有显著作用。

Effects of Downregulation of Inhibin α Gene Expression on Apoptosis and Proliferation of Goose Granulosa Cells

Inhibin a is one of the candidate genes that control the ovulation in poultry. To study the genetic effects of inhibin a on apoptosis and proliferation of goose granulosa cells cultured in vitro, two RNA interference （RNAi） expression vectors, psiRNA-INHal and psiRNA-INHα2, were constructed to knock down inhibin α gene expression. After 48 h of transfection, the efficiency of these two RNAi expression vectors was examined by fluorescence microscopy. Meanwhile, inhibin protein expression levels, apoptosis indexes （AI） and proliferation indexes （PI） of granulosa cells were analyzed by flow cytometry. In addition, the supernatants were collected to assay the concentrations of estrogen （E2） and progesterone （P） by radioimmunoassay. The results showed that the expression level of inhibin a in the RNAi group were decreased 30%--40% than those in the control groups （P 〈0.05） and the apoptosis indexes and proliferation indexes in the RNAi groups were significantly higher than those in the control groups （P 〈0.05）. However, the E2 concentrations in the RNAi groups were lower than those in the control groups （P 〈0.05）. These results indicate that inhibin a has antagonistic effect on granulosa cell apoptosis.

肾上腺肿瘤中A103、Inhibin α和c-erbB-2的表达

目的 研究A10 3、Inhibinα和c erbB 2在肾上腺肿瘤中的鉴别诊断价值。方法 应用免疫组织化学PowerVisionSys tem法检测 4 8例肾上腺肿瘤A10 3、Inhibinα和c erbB 2的表达。结果 A10 3免疫组化染色阳性率分别为肾上腺皮质腺瘤76 5 % (13/ 17) ,肾上腺皮质腺癌 5 0 0 % (4 / 8)。Inhibinα免疫组化染色阳性率分别为肾上腺皮质腺瘤 82 4 % (14 / 17) ,肾上腺皮质腺癌 75 0 % (6 / 8)。A10 3在肾上腺皮质肿瘤中呈胞质颗粒状阳性 ,主要见于肿瘤的透明细胞区域。Inhibinα呈胞质或胞膜阳性 ,可见于肿瘤的透明细胞和颗粒细胞区域。A10 3和Inhibinα两种抗体在肾上腺皮质腺瘤表达率 94 1% (16 / 17) ,在肾上腺皮质腺癌表达率为 87 5 % (7/ 8)。A10 3和Inhibinα在肾上腺嗜铬细胞瘤均呈阴性表达。c erbB 2表达率 :肾上腺皮质肿瘤为 6 4 0 % (16 / 2 5 ) ,肾上腺嗜铬细胞瘤为 17 4 % (4 / 2 3)。c erbB 2呈胞质颗粒状或弥漫阳性。在所有肿瘤中未观察到特异性的胞膜阳性反应。结论 A10

Melan-A和Inhibin α在肾上腺肿瘤鉴别诊断中的作用

目的 研究Melan A和Inhibinα在肾上腺肿瘤鉴别诊断中的作用。方法 78例肿瘤组织标本 ,包括 5例正常或瘤旁肾上腺组织、17例肾上腺皮质腺瘤、8例肾上腺皮质腺癌、2 3例肾上腺嗜铬细胞瘤、13例肝细胞癌和 12例肾细胞癌。应用PowerVisionTMSystem法检测Melan A和Inhibinα的表达。结果 Melan A在正常或瘤旁肾上腺组织表达阳性率 10 0 % ,肾上腺皮质腺瘤 76 5 % ,肾上腺皮质腺癌 5 0 %。在肝细胞癌和肾细胞癌中均呈阴性表达。In hibinα在正常或瘤旁肾上腺组织表达阳性率 10 0 % ,肾上腺皮质腺瘤 82 4 % ,肾上腺皮质腺癌 75 0 %。Inhibinα在肝细胞癌表达率 2 3 1% ,肾细胞癌 16 7% ,肾上腺嗜铬细胞瘤呈阴性表达。结论 Melan

孕中期检测血清AFP、Free-β-hCG和inhibin-A产前筛查的临床价值

目的探讨孕中期血清标记物甲胎蛋白（AFP）、游离β-人绒毛膜促性腺激素（Free—β—hCG）和抑制素A（inhibin—A）在产前筛查的实用价值。方法对3728例孕14～20周的孕妇分别采用化学发光法和酶联免疫方法检测血清AFP、Free—β—hCG和inhibin—A浓度，通过训‘算机软件计算危险系数，对高风险率孕妇进行遗传咨询，在知情同意的情况下进行羊水细胞染色体的产前检查。结果在3728例孕妇中筛查出唐氏综合征、β-三体及神经管缺损高危孕妇163例，占筛查总数的4．37％。91例进一步确诊，共检出先天缺陷7例，检出率为7．69％。结论孕中期血清中AFP、Free—β—hCG和inhibin—A用于产前筛查能早期发现和诊断胎儿先天缺陷，对降低其出生率是有效的，可以应用于临床大范围人群的产前筛查。

肾上腺皮质腺瘤组织中Calretinin、Melan-A和Inhibin α的表达及意义

目的探讨Calretinin、Melan-A和Inhibinα在肾上腺皮质腺瘤(ACA)组织中的表达及意义。方法采用免疫组化Max Vision两步法检测30例ACA、4例肾上腺皮质结节状增生、30例肾上腺良性嗜铬细胞瘤(ABP)、8例正常肾上腺组织中Calretinin、Melan-A和Inhibinα的表达。结果 Calretinin阳性率:ACA70.0%、肾上腺皮质结节状增生100.0%、ABP 13.4%、正常肾上腺皮质75.0%、正常肾上腺髓质0.0%;Melan-A阳性率:ACA 53.3%、肾上腺皮质结节状增生50.0%、ABP 3.3%、正常肾上腺皮质25.0%、正常肾上腺髓质0.0%;Inhibinα阳性率:ACA 83.3%、肾上腺皮质结节状增生100.0%、ABP 6.7%、正常肾上腺皮质100.0%、正常肾上腺髓质0.0%。Calretinin、Melan-A和Inhibinα在ACA组织中的表达显著高于ABP,差异有统计学意义(0.05)。三者或两两联合检测敏感性最高的是Calretinin与Inhibinα(76.7%)、特异性最高的是Melan-A与Inhibinα(95.0%)、准确性最高的是Calretinin与Inhibinα(83.3%)。结论 Calretinin、Melan-A和Inhibinα联合检测在ACA的诊断及其与ABP的鉴别诊断中具有重要价值。

Cloning and Sequence Analysis of 5′ Flanking Region and Exon of Inhibin α Precursor Gene in Goats

[Objective] The aim of this study was to reveal the relationship between inihibin （INH） α precursor gene and seasonal reproduction of goats, and investigate the evolutionary conservation of INHα precursor gene. [ Method] Cloning and sequence analysis of 5＇ flanking region and exon of inihibinα （INHE） precursor gene in twenty ewes between non-seasonal estrous breed （Haimen goats） and seasonal estrous breed （Anhui white goats） was analyzed in this study. [ Result] Compared with Anhui white goats, INHα precursor gene in Haimen goats had three SNP but no amino acid change, while its nucleotide homology was 99.7% and amino acid homology was 100%. The nucleotide homology of INHα precursor gene in goat, cattle, pig, person, chicken, horse, rat and dog ranged from 12.7% to 96.5%. [ Conclusion] INHα precursor gene tends to be highly conserved in species, and any change of nucleotide and amino acid maybe directly influence the function of the whole gene coding and regulation.

Localization of Inhibin in Some Rat Tissues and Exploration of Its Transport Mechanism

The aims of the study were to determine the distribution of inhibin and its α subunit in some rat tissues by an immunohistochemical method of streptavidin-biotin complex （SABC） and to assess the transport mechanism of inhibin by investigating the localization of inhibin and α subunits in the central nervous system （mainly in hypothalamus and pituitary） of ovariectomized rats. Investigations on the extragonadal tissues of ovariectomized rats showed positive expression of inhibin and its α subunit in heart, kidney, spleen, pancreatic gland cells, but no positive reaction sites were seen in lung, liver, submaxillary gland, and adrenal gland. After injection with inhibin α subunit fragment or inhibin extract, positive reaction sites were observed in hypothalamus and pituitary of ovariectomized rats by SABC. Inhibin and its subunit was present in a wide variety of nonreproductive organs and tissues, and its expression was tissue specific, which indicated that inhibin might play a role in regulating tissue function through autocrine/paracrine mechanisms. Inhibin dimer and α subunit could be transported through the BBB by the method of “separation and reconstruction”.

卵巢上皮性癌中inhibin及其受体β-glycan的表达

目的探讨α-inhibin及其受体β-glycan在恶性卵巢上皮性肿瘤中的表达,评估两种多肽信号对卵巢癌生长的调控作用,探讨卵巢癌的发病机制。方法应用EliVision方法检测30例正常卵巢组织、30例卵巢囊腺瘤和80例卵巢囊腺癌中α-in-hibin及其受体β-glycan的表达。结果α-inhibin在正常卵巢、卵巢囊腺瘤和卵巢囊腺癌中的总阳性表达率分别为93.3%、60.0%、36.3%,差异均有显著性(P<0.01);β-glycan在正常卵巢、卵巢囊腺瘤、卵巢囊腺癌的阳性表达率呈逐渐下降的趋势分别为100%、80.0%、75.0%,卵巢囊腺瘤、囊腺癌与正常卵巢组比较,差异有显著性(P<0.05),但卵巢囊腺瘤与囊腺癌比较,差异无显著性(P>0.05)。结论α-inhibin蛋白在卵巢囊腺癌中表达明显下降,而β-glycan在卵巢肿瘤中的表达仍然很高,提示β-glycan对增强α-inhibin抑制卵巢囊腺癌的形成可能起着一定的作用。

抑制素(Inhibin)基因免疫在提高动物繁殖力中的应用

抑制素(Inhibin)是一种由性腺器官分泌的糖蛋白激素,能抑制垂体促卵泡素(FSH)的分泌及卵泡发育。本文主要阐述抑制素基因免疫对动物繁殖力的影响及影响免疫效果的因素。

Can inhibin-B predict the outcome of microsurgical epididymal sperm aspiration in patients with suspected primary obstructive azoospermia？

Aim： To evaluate whether inhibin-B can predict the outcome of a microsurgical epidymal sperm aspiration （MESA） procedure in patients with suspected primary obstructive azoospermia （OA） and if inhibin-B can replace testicular biopsy in the diagnostic work-up of these patients. Methods： Inhibin-B levels and testicular biopsy scores were related to the outcome of MESA in 43 patients with suspected primary OA. MESA was considered to be successful when epididymal sperm could be identified during the procedure. Results： Spermatozoa were present in the epididymal aspirate in 28 out of the 43 patients （65%）. lnhibin-B values were not significantly different in patients with successful or unsuccessful MESA. The modified Johnsen score, however, was significantly lower in patients with unsuccessful MESA （P = 0.003）. A rete testis obstruction or epididymal malfunctioning was found in 15% of patients with suspected primary OA, reflected by unsuccessful MESA despite normal inhibin-B levels and normal testicular histology. Conclusion： Inhibin-B cannot replace testicular biopsy as a diagnostic tool in the work-up of patients with suspected primary OA. Testicular biopsy is useful in identifying patients with spermatogenic arrest, who might have normal inhibin-B values.

Inhibin/Activin信号对卵巢癌生长调控的初步研究

目的 :分析抑制素 (Inhibin)和激活素 (Activin)在卵巢癌上皮和间质中的表达 ,评估两种多肽信号对卵巢癌生长的调控作用 ,探讨卵巢癌发病机制。方法 :采用免疫组化法检测 10 2例卵巢癌上皮及间质中抑制素和激活素的表达。结果 :( 1)激活素在卵巢癌组织上皮和间质中的总阳性表达率显著高于抑制素 ( 79/ 2 0 4vs 5 2 / 2 0 4 ,P <0 .0 0 5 ) ;( 2 )卵巢癌上皮中激活素阳性表达率显著高于抑制素 ( 61/ 10 2vs 2 2 / 10 2 ,P <0 .0 0 5 ) ,而间质中抑制素阳性表达率显著高于激活素 ( 30 / 10 2vs 18/ 10 2 ,P <0 .0 5 ) ;( 3)高分化癌组织(G1、G2 )上皮中激活素阳性表达率显著低于低分化癌组织 (G3、G4 )上皮中激活素阳性表达率 ( 4 5 / 66vs 16/ 36,P <0 .0 0 5 )。结论 :抑制素和激活素在卵巢癌组织中的不平衡表达可能是卵巢癌发生、发展的原因之一 ;低分化癌组织较高分化癌组织合成更多的激活素 ,通过与受体结合 ,激活信号放大 。

Effects of Immunization Against Inhibin on Egg-Laying Performance in Magang and Landaise Geese

This study aimed to improve egg-laying performance in incubating Magang geese of Guangdong origin and Landaise geese of French origin. In experiment 1, 50 adults, egg-laying Magang geese were inoculated intramuscularly （i.m.） on days 0, 22, and 45 with 1 mL of immunogen containing 1 mg of recombinant chicken inhibin fusion protein. Immunization significantly increased blood antibody titers against inhibin fusion protein, but did not affect the egg-laying performance within 10 days after the first inoculation. From day 15, the egg-laying rate in inhibin-immunized group increased and was significantly higher than the values of control geese from day 40 to 55. However, the reverse was true from day 55 to 75 when more immunized geese developed incubation. In the entire 120 days of the experiment, the immunized geese laid 17.3 eggs in contrast to 16.4 eggs laid by the control geese. From day 30 till the end of the experiment, weight of eggs in the control geese was significantly greater than that in inhibin-immunized birds. In experiment 2, 40 Landaise geese were immunized against inhibin, as described in experiment 1. These geese laid 9.0 eggs on average in contrast to 7.3 eggs laid by nonimmunized control geese over 90 days of egg laying. The above results demonstrated that immunization against recombinant chicken inhibin fusion protein improved egg-laying performance in geese, and the increment was higher in nonincubating geese.

Endocrine and ovarian responses in water buffalo cows immunized against inhibin and subjected to the Ovsynch protocol

The aim of this study was to investigate the feasibility of stimulating ovarian fol icle development in order to improve fertility in water buffalo cows by immunization against inhibin. The experiment was carried out in early summer (May) and included 24 multi-parity crossbred Murrah-Swamp buffaloes that were divided into immunized (n=11) and control (n=13) groups. Each immunized cow was administered with a 2-mL immunogen of mineral oil adjuvant containing 2 mg of recombinant inhibinα-subunit fusion protein. The controls were treated with the adjuvant only. Al animals received Ovsynch protocol treatment, starting on the day of the antigen administration, and they were artiifcial y inseminated upon behavioral estrus. As a result, al of the immunized buffaloes generated antibodies against inhibin during the experimental period and had higher plasma concentrations of fol icle-stimulating hormone (FSH), activin, and estradiol (E2) related to estrous expression. A higher proportion of immunized animals expressed estrus behavior than did the controls (72%vs. 30%, P<0.05). On aver-age, inhibin-immunized buffaloes had signiifcantly more large fol icles (≥9 mm in diameter) than the controls (mean±SEM;1.2±0.1 vs. 0.84±0.1, respectively;P<0.05) and a slightly higher mean total number of fol icles (≥2 mm;11.4±0.7 vs. 9.0±1.1, respectively;P=0.09) and smal (2–4 mm) fol icles (8.81±0.6 vs. 6.84±1.0, respectively;P=0.12). A higher percentage of cows ovulated in the immunized group than in the control group (91%(10/11) vs. 54%(7/13), respectively;P<0.05). Moreover, inhibin-immunized cows had slightly larger corpus luteum (CL) than the controls 9 days after ovulation and signiifcantly higher (P<0.01) post-ovulation peak plasma progesterone (P4) concentrations. Immunization against inhibin also mar-ginal y increased the conception rate 42 days after insemination (45.8%vs. 15.4%;P>0.05). These results demonstrate that immunization against inhibin, coupled with the treatment with the Ovsynch protocol, can constitute a new technique to increase fertility in water buffalo cows.

Effect of Inhibinα(1-32)Gene Immunization on the Follicular Development and Reproductive Hormones in Rats

A total of 40 rats, aged in 30 days. were divided into 4 groups and immunized (intramuscularly injection) with 0 μg(control), 15μg (group 1), 25μg (group 2) or 40 μg (group 3) of inhibin α(1-32) re-combinant expression plasmid pcINH in combination with liposome. Booster was given without liposome on day 20 after primary immunization. The results showed that 50%(13/26) rats were detected in positive antibody against inhibin. However, the increase of immunization dosage and booster did not promote the ratio of antibody positive rats. The number of matured follicles above 0.8 mm in diameter in the antibody positive rats was 2.3 more than that in the negative rats (P>0. 05). The concentration of blood plasma FSH increased distinctively on day 10 after primary immunization (P<0. 05), but no increase was observed after booster immunization. The 17-β-estradiol levels in blood plasma of rats between the positive and the negative groups had no remarkable differences (P>0.05). These results suggested that recombinant inhibin expression plasmid could stimulate animal body to produce antibody against inhibin.

妊娠中期孕妇血清AFP、β-HCG、uE3、Inhibin-A联合检测预测不良妊娠结局价值

目的:探究孕中期血清甲胎蛋白(AFP)、人绒毛膜促性腺激素(hCG)、游离雌三醇(uE3)和抑制素-A(Inhibin-A)联合检测预测母婴不良妊娠结局价值。方法:回顾性分析2017年1月-2019年12月于本院产前检查的600例初产妇临床资料,均于孕中期检测血清AFP、β-HCG、uE3和Inhibin-A水平,评估预测不良妊娠结局效能。结果:600例中,发生不良孕产结局34例(5.7%),不良围产儿21例(3.5%)。发生不良妊娠结局孕妇血清AFP、β-HCG、Inhibin-A水平升高,uE3下降(P<0.05)。血清AFP、β-HCG、uE3、Inhibin-A联合预测不良孕产结局的曲线下面积为0.902,预测不良围生儿的曲线下面积为0.854,预测结果与分娩后结果无差异(P>0.05)。结论:单胎初产妇孕中期血清AFP、β-HCG、uE3、Inhibin-A联合检测对不良妊娠结局有较好预测作用。