临床误诊误治
臨床誤診誤治
림상오진오치
Clinical Misdiagnosis & Mistherapy
2015年
11期
95-98
,共4页
超声检查%绒毛膜促性腺激素%妊娠结局%预测
超聲檢查%絨毛膜促性腺激素%妊娠結跼%預測
초성검사%융모막촉성선격소%임신결국%예측
Ultrasonography%Chorionic gonadotropin%Pregnancy outcome%Forecast
目的：探讨超声检查联合β-人绒毛膜促性腺激素（β-Human chorionic gonadotropin,β-hCG)检测对未知部位妊娠（ pregnancy of unknown location, PUL)结局的预测价值。方法回顾性分析我院诊治的120例PUL孕妇的临床资料（血清检测和超声检查资料完整),按照最终妊娠结局分为宫内妊娠正常组34例、宫内妊娠流产组23例和异位妊娠组63例。分析比较3组超声检查子宫内膜厚度、黄体血流信号缺失率及血清β-hCG水平、孕酮（ progesterone, P)水平、β-hCG增长率>60%比例。结果3组腹痛、阴道流血发生率,超声检查子宫内膜厚度、黄体血流信号缺失率以及血清β-hCG水平、P水平、β-hCG增长率>60%比例比较差异均具有统计学意义（ P<0．05)。宫内妊娠正常组腹痛、阴道流血发生率及超声检查黄体血流信号缺失率显著低于宫内妊娠流产组和异位妊娠组,超声检查子宫内膜厚度及血清β-hCG水平、P水平、β-hCG增长率>60%比例显著高于宫内妊娠流产组和异位妊娠组,差异均具有统计学意义（P<0．05)。宫内妊娠流产组阴道流血、腹痛发生率,超声检查黄体血流信号缺失率以及血清β-hCG水平、P水平、β-hCG增长率>60%比例均显著低于异位妊娠组,差异亦均具有统计学意义（ P<0．05)。结论超声检查测量子宫内膜厚度、黄体血流信号联合血清学检测β-hCG水平特别是β-hCG增长率可以预测PUL孕妇的妊娠结局。
目的：探討超聲檢查聯閤β-人絨毛膜促性腺激素（β-Human chorionic gonadotropin,β-hCG)檢測對未知部位妊娠（ pregnancy of unknown location, PUL)結跼的預測價值。方法迴顧性分析我院診治的120例PUL孕婦的臨床資料（血清檢測和超聲檢查資料完整),按照最終妊娠結跼分為宮內妊娠正常組34例、宮內妊娠流產組23例和異位妊娠組63例。分析比較3組超聲檢查子宮內膜厚度、黃體血流信號缺失率及血清β-hCG水平、孕酮（ progesterone, P)水平、β-hCG增長率>60%比例。結果3組腹痛、陰道流血髮生率,超聲檢查子宮內膜厚度、黃體血流信號缺失率以及血清β-hCG水平、P水平、β-hCG增長率>60%比例比較差異均具有統計學意義（ P<0．05)。宮內妊娠正常組腹痛、陰道流血髮生率及超聲檢查黃體血流信號缺失率顯著低于宮內妊娠流產組和異位妊娠組,超聲檢查子宮內膜厚度及血清β-hCG水平、P水平、β-hCG增長率>60%比例顯著高于宮內妊娠流產組和異位妊娠組,差異均具有統計學意義（P<0．05)。宮內妊娠流產組陰道流血、腹痛髮生率,超聲檢查黃體血流信號缺失率以及血清β-hCG水平、P水平、β-hCG增長率>60%比例均顯著低于異位妊娠組,差異亦均具有統計學意義（ P<0．05)。結論超聲檢查測量子宮內膜厚度、黃體血流信號聯閤血清學檢測β-hCG水平特彆是β-hCG增長率可以預測PUL孕婦的妊娠結跼。
목적：탐토초성검사연합β-인융모막촉성선격소（β-Human chorionic gonadotropin,β-hCG)검측대미지부위임신（ pregnancy of unknown location, PUL)결국적예측개치。방법회고성분석아원진치적120례PUL잉부적림상자료（혈청검측화초성검사자료완정),안조최종임신결국분위궁내임신정상조34례、궁내임신유산조23례화이위임신조63례。분석비교3조초성검사자궁내막후도、황체혈류신호결실솔급혈청β-hCG수평、잉동（ progesterone, P)수평、β-hCG증장솔>60%비례。결과3조복통、음도류혈발생솔,초성검사자궁내막후도、황체혈류신호결실솔이급혈청β-hCG수평、P수평、β-hCG증장솔>60%비례비교차이균구유통계학의의（ P<0．05)。궁내임신정상조복통、음도류혈발생솔급초성검사황체혈류신호결실솔현저저우궁내임신유산조화이위임신조,초성검사자궁내막후도급혈청β-hCG수평、P수평、β-hCG증장솔>60%비례현저고우궁내임신유산조화이위임신조,차이균구유통계학의의（P<0．05)。궁내임신유산조음도류혈、복통발생솔,초성검사황체혈류신호결실솔이급혈청β-hCG수평、P수평、β-hCG증장솔>60%비례균현저저우이위임신조,차이역균구유통계학의의（ P<0．05)。결론초성검사측양자궁내막후도、황체혈류신호연합혈청학검측β-hCG수평특별시β-hCG증장솔가이예측PUL잉부적임신결국。
Objective To explore the predictive value of ultrasonography combined withβ-Human chorionic gonado-tropin (β-hCG) detection for pregnancy outcome of unknown locations (PUL). Methods Clinical data of 120 pregnant women with PUL was retrospectively analyzed. The pregnant women were divided into normal intrauterine pregnancy group (normal group, n=34), intrauterine pregnancy abortion group (abortion group, n=23) and ectopic pregnancy group (n=63) according to the final outcome. The endometrial thickness, signal miss rate of luteal blood flow, levels of the ultrasound serum β-hCG, progesterone ( P) and ratio of β-hCG growth rate over 60% in the three groups were analyzed. Results The differences in incidence rates of abdominal pain and vagina bleeding, endometrial thickness, signal miss rate of luteal blood flow, levels of serum β-hCG, P and ratio of β-hCG growth rate over 60% in the three groups were statistically significant (P<0. 05). In normal group, the values of incidence rates of abdominal pain and vagina bleeding and signal miss rate of lu-teal blood flow were significantly lower, while the values of endometrial thickness, levels of serum β-hCG, P and ratio of β-hCG growth rate over 60% were significantly higher than those in abortion and ectopic pregnancy groups (P<0. 05). The val-ues of incidence rates of abdominal pain and vagina bleeding, endometrial thickness, signal miss rate of luteal blood flow, lev-els of serum β-hCG, P and ratio ofβ-hCG growth rate over 60% in abortion group were significantly lower than those in ectop-ic pregnancy group ( P<0. 05 ) . Conclusion Sonographic detection of endometrial thickness and luteal blood flow signal combined with serological detection of β-hCG level especially β-hCG growth rate may predict pregnancy outcome of pregnant women with PUL.
