CAJ | 학술논문

目的：分析评价孕酮、血清β-HCG与阴道彩超联合用于宫内妊娠与异位妊娠的诊断效果。方法选择近几年来我院进行诊治的80例疑似异位妊娠的患者作为研究对象，经诊断，宫内妊娠患者30例，作为对照组，异位妊娠患者50例，作为观察组。两组住院期间均给予孕酮、血清β-HCG与阴道彩超检查。观察测定两组患者的孕酮、血清β-HCG、子宫内膜的厚度。结果异位妊娠患者的血清β-HCG、孕酮值及阴道彩超测定的子宫内膜厚度明显低于宫内妊娠患者，孕酮、血清β-HCG与阴道彩超三种指标联合检测异位妊娠的诊断准确率（94%）明显高于单一采用血清β-HCG（62%）、孕酮（74%）及阴道彩超（72%）检测的诊断准确率，其差异具有统计学意义（P＜0.05）。结论在宫内妊娠与异位妊娠的诊断中应用孕酮、血清β-HCG与阴道彩超三者联合诊断的方法，提高了诊断的准确性，有较为广阔的临床应用前景。
목적：분석평개잉동、혈청β-HCG여음도채초연합용우궁내임신여이위임신적진단효과。방법선택근궤년래아원진행진치적80례의사이위임신적환자작위연구대상，경진단，궁내임신환자30례，작위대조조，이위임신환자50례，작위관찰조。량조주원기간균급여잉동、혈청β-HCG여음도채초검사。관찰측정량조환자적잉동、혈청β-HCG、자궁내막적후도。결과이위임신환자적혈청β-HCG、잉동치급음도채초측정적자궁내막후도명현저우궁내임신환자，잉동、혈청β-HCG여음도채초삼충지표연합검측이위임신적진단준학솔（94%）명현고우단일채용혈청β-HCG（62%）、잉동（74%）급음도채초（72%）검측적진단준학솔，기차이구유통계학의의（P＜0.05）。결론재궁내임신여이위임신적진단중응용잉동、혈청β-HCG여음도채초삼자연합진단적방법，제고료진단적준학성，유교위엄활적림상응용전경。
Objective To analysis and evaluate the diagnostic effect of progesterone combined with β-HCG and vaginal ultrasonography in diagnosis of intrauterine pregnancy and ectopic pregnancy. Methods 80 suspected patients with ectopic pregnancy in our hospital during recent years were chosen as the research object.30 patients diagnosed with intrauterine pregnancy were as the control group,and 50 patients diagnosed with ectopic pregnancy were as the observation group.All patients in both the two groups were diagnosed by progesterone,β-HCG and vaginal ultrasonography during hospital stays.The values of progesterone and β-HCG and the endometrial thickness of patients in both two groups were determined and observed. Results The values of progesterone and β-HCG and the endometrial thickness determined by vaginal ultrasonography of patients with ectopic pregnancy were obviously lower than that of patients with intrauterine pregnancy.The diagnostic accuracy of ectopic pregnancy diagnosed by progesterone combined with β-HCG and vaginal ultrasonography was 94%,significantly higher than that of 62%by β-HCG alone,74% by progesterone alone and 72% by vaginal ultrasonography alone.The statistical results had significant difference (P<0.05). Conclusion Combination of progesterone,β-HCG and vaginal ultrasonography in diagnosis of intrauterine pregnancy and ectopic pregnancy enhance the diagnostic accuracy,which has a wider prospect of clinical application.