β-hCG及孕酮对诊断异位妊娠的临床应用价值研究

丁小燕

（陕西省安康市平利县计划生育服务站，陕西安康，725500）

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摘要：

目的 探讨检测β-hCG及孕酮水平对诊断异位妊娠的临床应用价值。方法 选择2011年10月至2015年10月在我院诊治的异位妊娠产妇72例作为观察组，同期选择在我院进行常规孕检的产妇72例作为对照组，两组都进行血清β-hCG及孕酮的检测与分析。结果观察组产妇的血清茁-hCG及孕酮含量为（1 824.44依422.49）U/L和（13.98±4.23）mmol/L，而对照组产妇分别为（23 520.09±5 633.14）U/L和（98.44依20.13）mmol/L，观察组明显低于对照组（P<0.05）。在观察组中，血清β-hCG 判断为异位妊娠70例，检出率为97.22%；而血清孕酮判断为异位妊娠68例，检出率为94.44%，两种指标的检出率对比无统计学意义（P>0.05）。结论β-hCG及孕酮诊断异位妊娠的都有很好的应用价值，有利于宫外妊娠的检出，值得推广应用。

关键词：人绒毛膜促性腺激素；异位妊娠；孕酮；检出率；输卵管妊娠

中图分类号：R714.22文献标志码：A文章编号：2096-1413(2017)07-0094-02

The study on the clinical value of β-hCG and progesterone in the diagnosis of ectopic pregnancy

DING Xiao-yan

(Pingli County Family Planning Service Station of Ankang, Ankang 725500, China)

ABSTRACT: Objective To investigate the clinical value of β-hCG and progesterone in the diagnosis of ectopic pregnancy. Methods Seventy-two cases of ectopic pregnancy in our hospital from October 2011 to October 2015 were selected as observation group, 72 cases that took the routine pregnancy test in our hospital during the same period were selected as control group. Both groups were given a test and analysis of serum β-hCG and progesterone. Results In the observation group, the levels of serum β-hCG and progesterone were (1 824.44±422.49) U/L and (13.98±4.23) mmol/L, which were significantly lower than (23 520.09±5 633.14) U/L and (98.44±20.13) mmol/L of the control group (P<0.05). In the observation group, 70 cases were diagnosed as ectopic pregnancy according to serum β-hCG, the detection rate was 97.2%,while 68 cases were diagnosed as ectopic pregnancy according to serum progesterone, the detection rate was 94.4%, the detection rate of the two indexes was not statistically significant (P>0.05). Conclusion β-hCG and progesterone in the diagnosis of ectopic pregnancy have very good application value which are conducive to the detection of ectopic pregnancy and worthy of popularization.

KEYWORDS: human chorionic gonadotropin; ectopic pregnancy; progesterone; detection rate; tubal pregnancy

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