中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
4期
628-629
,共2页
妊娠,异位%腔内超声检查%孕酮%绒毛膜促性腺激素,β亚单位,人
妊娠,異位%腔內超聲檢查%孕酮%絨毛膜促性腺激素,β亞單位,人
임신,이위%강내초성검사%잉동%융모막촉성선격소,β아단위,인
Pregnancy,Ectopic%Endosonography%Progesterone%Chorionic gonadotropin,beta Suburit,human
目的 探讨经阴道超声(TVCDS)联合检测血β-绒毛膜促性腺激素(β-HCG)和孕酮(P)水平对异位妊娠的诊断价值.方法 TVCDS检查96例异位妊娠患者,并在当天或次日行β-HCG和P检查,住院治疗者隔天或数天行β-HCG和P复查.结果 96例异位妊娠患者包块型76例(79.1%),直径(47.6±18.4)mm;胚囊型20例(20.9%)在异位妊娠部位可显示胚囊结构,其内见卵黄囊或胎心搏动,直径(12.86±6.85)mm.94例(97.9%)异位妊娠区均显示有彩色多普勒血流信号,并且89例(92.7%)患者PW可探及低阻滋养动脉血流频谱,搏动指数(PI)为(0.46±0.03).96例异位妊娠者血β-HCG和P水平明显呈低值(P<0.01).结论 TVCDS结合β-HCG和P测定可提高异位妊娠早期诊断水平.
目的 探討經陰道超聲(TVCDS)聯閤檢測血β-絨毛膜促性腺激素(β-HCG)和孕酮(P)水平對異位妊娠的診斷價值.方法 TVCDS檢查96例異位妊娠患者,併在噹天或次日行β-HCG和P檢查,住院治療者隔天或數天行β-HCG和P複查.結果 96例異位妊娠患者包塊型76例(79.1%),直徑(47.6±18.4)mm;胚囊型20例(20.9%)在異位妊娠部位可顯示胚囊結構,其內見卵黃囊或胎心搏動,直徑(12.86±6.85)mm.94例(97.9%)異位妊娠區均顯示有綵色多普勒血流信號,併且89例(92.7%)患者PW可探及低阻滋養動脈血流頻譜,搏動指數(PI)為(0.46±0.03).96例異位妊娠者血β-HCG和P水平明顯呈低值(P<0.01).結論 TVCDS結閤β-HCG和P測定可提高異位妊娠早期診斷水平.
목적 탐토경음도초성(TVCDS)연합검측혈β-융모막촉성선격소(β-HCG)화잉동(P)수평대이위임신적진단개치.방법 TVCDS검사96례이위임신환자,병재당천혹차일행β-HCG화P검사,주원치료자격천혹수천행β-HCG화P복사.결과 96례이위임신환자포괴형76례(79.1%),직경(47.6±18.4)mm;배낭형20례(20.9%)재이위임신부위가현시배낭결구,기내견란황낭혹태심박동,직경(12.86±6.85)mm.94례(97.9%)이위임신구균현시유채색다보륵혈류신호,병차89례(92.7%)환자PW가탐급저조자양동맥혈류빈보,박동지수(PI)위(0.46±0.03).96례이위임신자혈β-HCG화P수평명현정저치(P<0.01).결론 TVCDS결합β-HCG화P측정가제고이위임신조기진단수평.
Objective To investigate diagnostic value of ectopic pregnancy by transvaginal sonography (TVCDS) combining with detection of blood β-human chorionie gonadotropin(β-HCG) and progesterone(P) level. Methods 96 ectopic pregnancy patients were exahined by TVCDS,and detected β-HCG and P in the same day or next day,every two days or several days reexamination of β-HCG and P were given to the hospitalization patients. Re-suits 96 ectopic pregnancy patients including massive type 76(79.1%) ,diameter (47.6±18.4) mm;embryo sac type 20(20.9%) ,showed embryo sac structure in ectopic pregnancy area,saw pulsation in saccus vitellinus and fetus vascular color,diameter (12.86±6.85)mm. 94(97.9%) displayed Doppler signals in ectopic pregnancy area, and 89(92.7%)cases were detected low resistivity nutrient artery flow spectrum by PW, the PI average value was (0.46±0.03).96 ectopic pregnancy patients' blood β-HCG and P level were significant low(P<0.01). Conclusion TVCDS combining with detection of β-HCG and P can raise early diagnosis level of ectopie pregnancy.
