现代检验医学杂志
現代檢驗醫學雜誌
현대검험의학잡지
Journal of Modern Laboratory Medicine
2015年
4期
137-140
,共4页
陈柳青%连炬飞%曾丽%赖科峰%林珠
陳柳青%連炬飛%曾麗%賴科峰%林珠
진류청%련거비%증려%뢰과봉%림주
封闭抗体%抗子宫内膜抗体%抗心磷脂抗体%不明原因复发性自然流产
封閉抗體%抗子宮內膜抗體%抗心燐脂抗體%不明原因複髮性自然流產
봉폐항체%항자궁내막항체%항심린지항체%불명원인복발성자연유산
blocking antibodies%antiendometrial antibodies%anticardiolipin antibodies%unexplained recurrent spontaneous abor-tion
目的:探讨封闭抗体(BA),抗子宫磷脂抗体(EMAb)及抗心磷脂抗体(ACA)联合检测与不明原因复发性自然流产(UPSA)的相关性。方法选取不明原因复发性自然流产144例,偶发性自然流产166例和正常体检孕妇188例,检测其 BA,EMAb 和 ACA 并行统计学分析。结果 URSA 组分别与偶发性自然流产组及对照组相比较,BA 阴性率(74.31%,25.30%和50.53%),EMAb 阳性率(35.42%,7.23%和6.91%)和 ACA 阳性率(26.39%,5.42%和5.32%)差异均有统计学意义(χ2=19.344~74.180,P 值均<0.05;χ2=37.837~42.586,P 值均<0.05;χ2=26.355~29.270,P 值均<0.05)。URSA 组的 BA,EMAb 和 ACA 联合检测阳性率(84.72%)明显高于偶发性自然流产组及对照组(χ2=35.532~93.076,P 值均<0.05)。结论BA 的缺乏,EMAb 和 ACA 的产生与不明原因复发性自然流产存在密切的关系,联合检测对辅助诊断 URSA 及其预后判断具有重要的临床指导意义。
目的:探討封閉抗體(BA),抗子宮燐脂抗體(EMAb)及抗心燐脂抗體(ACA)聯閤檢測與不明原因複髮性自然流產(UPSA)的相關性。方法選取不明原因複髮性自然流產144例,偶髮性自然流產166例和正常體檢孕婦188例,檢測其 BA,EMAb 和 ACA 併行統計學分析。結果 URSA 組分彆與偶髮性自然流產組及對照組相比較,BA 陰性率(74.31%,25.30%和50.53%),EMAb 暘性率(35.42%,7.23%和6.91%)和 ACA 暘性率(26.39%,5.42%和5.32%)差異均有統計學意義(χ2=19.344~74.180,P 值均<0.05;χ2=37.837~42.586,P 值均<0.05;χ2=26.355~29.270,P 值均<0.05)。URSA 組的 BA,EMAb 和 ACA 聯閤檢測暘性率(84.72%)明顯高于偶髮性自然流產組及對照組(χ2=35.532~93.076,P 值均<0.05)。結論BA 的缺乏,EMAb 和 ACA 的產生與不明原因複髮性自然流產存在密切的關繫,聯閤檢測對輔助診斷 URSA 及其預後判斷具有重要的臨床指導意義。
목적:탐토봉폐항체(BA),항자궁린지항체(EMAb)급항심린지항체(ACA)연합검측여불명원인복발성자연유산(UPSA)적상관성。방법선취불명원인복발성자연유산144례,우발성자연유산166례화정상체검잉부188례,검측기 BA,EMAb 화 ACA 병행통계학분석。결과 URSA 조분별여우발성자연유산조급대조조상비교,BA 음성솔(74.31%,25.30%화50.53%),EMAb 양성솔(35.42%,7.23%화6.91%)화 ACA 양성솔(26.39%,5.42%화5.32%)차이균유통계학의의(χ2=19.344~74.180,P 치균<0.05;χ2=37.837~42.586,P 치균<0.05;χ2=26.355~29.270,P 치균<0.05)。URSA 조적 BA,EMAb 화 ACA 연합검측양성솔(84.72%)명현고우우발성자연유산조급대조조(χ2=35.532~93.076,P 치균<0.05)。결론BA 적결핍,EMAb 화 ACA 적산생여불명원인복발성자연유산존재밀절적관계,연합검측대보조진단 URSA 급기예후판단구유중요적림상지도의의。
Objective To discuss the correlation between the joint detection of BA,EMAb,ACA and unexplained recurrent spontaneous abortion(URSA).Methods Selected 144 URSA cases,166 SA(sporadic abortion)cases,188 normal pregnant women,and detected their BA,EMAb,ACA and statistical analysis of parallelism.Results Comparing URSA group with SA group and control group respectively,there were significant statistical difference between BA negative rate (74.31%, 25.30% and 50.53%),EMAb positive rate (35.42%,7.23% and 6.91%)and ACA positive rate (26.39%,5.42% and 5.32%)(χ2 = 19.344 ~ 74.180;P < 0.05;χ2 = 37.837 ~ 42.586,P < 0.05),(χ2 = 26.355 ~ 29.270,P < 0.05).URSA group’s BA,ACA and EMAb joint detection rate of positive (84.72%)was significantly higher than SA group and the con-trol group (χ2 =35.532~93.076,P <0.05).Conclusion There was a close relationship between the lack of BA,the genera-tion of EMAb,ACA and unexplained recurrent spontaneous abortion.Joint detection has important clinical significance in auxiliary diagnosis of unexplained recurrent spontaneous abortion and prognosis judgement.