摘要
目的:研究血清β-HCG比值、血清孕酮和子宫内膜厚度检测在诊断异位妊娠中的应用价值。方法:将重庆市万州区上海医院于2020年1月至2021年1月期间收治的100例异位妊娠患者及同期在该院进行体检的100例正常妊娠的孕妇作为研究对象。将其中100例异位妊娠患者作为异位妊娠组,将其中100例正常妊娠的孕妇作为正常妊娠组。比较两组研究对象的血清β-HCG比值、血清孕酮的水平和子宫内膜厚度,并观察用血清β-HCG比值检测、血清孕酮检测与子宫内膜厚度检测诊断异位妊娠的效果。结果:异位妊娠组患者的血清β-HCG比值、子宫内膜厚度均小于正常妊娠组孕妇,其血清孕酮的水平低于正常妊娠组孕妇,差异有统计学意义(P<0.05)。进行Logistic回归分析的结果显示,用血清β-HCG比值检测、血清孕酮检测与子宫内膜厚度检测诊断异位妊娠的效果均较好。结论:血清β-HCG比值、血清孕酮和子宫内膜厚度检测在诊断异位妊娠中的应用价值均较高。
Objective:To investigate the value of serumβ-HCG ratio,serum progesterone and endometrial thickness in the diagnosis of ectopic pregnancy.Methods:A total of 100 patients with ectopic pregnancy admitted to Shanghai Hospital in Wanzhou District of Chongqing from January 2020 to January 2021 and 100 pregnant women with normal pregnancy who underwent physical examination in the hospital during the same period were selected as the research subjects.Among them,100 patients with ectopic pregnancy were included in the ectopic pregnancy group,and 100 pregnant women with normal pregnancy were included in the normal pregnancy group.Serumβ-HCG ratio,serum progesterone level and endometrial thickness were compared between the two groups,and the effects of serumβ-HCG ratio,serum progesterone and endometrial thickness in the diagnosis of ectopic pregnancy were observed.Results:The serumβ-HCG ratio and endometrial thickness in ectopic pregnancy group were lower than those in normal pregnancy group,and the serum progesterone level was lower than that in normal pregnancy group,the difference was statistically significant(P<0.05).Logistic regression analysis showed that serumβ-HCG ratio detection,serum progesterone detection and endometrial thickness detection were better in the diagnosis of ectopic pregnancy.Conclusion:Serumβ-HCG ratio,serum progesterone and endometrial thickness are valuable in the diagnosis of ectopic pregnancy.
作者
向国云
XIANG Guoyun(Department of Clinical Laboratory,Shanghai Hospital,Chongqing Wanzhou District,Chongqing 400000,China)
