超声检查卵黄囊联合血清C反应蛋白预测早期先兆流产结局的意义

发布时间：2018-03-20 16:06

本文选题：先兆流产　切入点：卵黄囊　出处：《广东医学》2015年07期 　论文类型：期刊论文

【摘要】：目的评估超声下扫描卵黄囊联合血清C反应蛋白(CRP)的检测在预测早期先兆流产结局中的价值。方法筛选254例妊娠12周以下的孕妇,分为3组:正常妊娠组;诊断为先兆流产并行积极治疗的保胎成功组;诊断为先兆流产并行积极治疗的难免流产组。统计分析治疗前各组患者超声测量的卵黄囊显示率,同时分析血清CRP水平。结果先兆流产并行积极治疗保胎成功者共112例,行积极治疗保胎不成功者共42例。保胎成功组和正常孕妇组的卵黄囊可视率明显高于难免流产组。对于卵黄囊显示率和血清CRP水平,难免流产组与其他两组的比较差异均有统计学意义(P0.05),但正常妊娠组和保胎成功组比较差异无统计学意义(P0.05)。CRP预测早期先兆流产的敏感度(85.7%)和符合率(89.6%)最高,CRP联合卵黄囊预测早期先兆流产的特异度(96.4%)最高。结论超声下扫描卵黄囊联合血清CRP的检测对于预测早期先兆流产结局有重要价值。
[Abstract]:Objective to evaluate the value of ultrasound scanning yolk sac combined with serum C-reactive protein (CRP) in predicting the outcome of early threatened abortion. Methods 254 pregnant women under 12 weeks of gestation were selected and divided into 3 groups: normal pregnancy group; The diagnosis of threatened abortion with active treatment of the successful group, the diagnosis of threatened abortion with active treatment of inevitable abortion group. Statistical analysis before treatment of patients in each group of ultrasonic measurement of yolk sac display rate, The serum CRP level was also analyzed. Results 112 cases of successful pregnancy were treated with threatened abortion and active treatment. The visible rate of yolk sac in the successful group and the normal pregnant group was significantly higher than that in the group of inevitable abortion. The display rate of yolk sac and the level of serum CRP were significantly higher in the successful group than in the group of inevitable abortion. There was significant difference between inevitable abortion group and other two groups, but there was no significant difference between normal pregnancy group and successful pregnancy group. There was no significant difference between normal pregnancy group and successful pregnancy group. CRP could predict the sensitivity of early threatened abortion (85.7%) and coincidence rate (89.6%). Conclusion the detection of yolk sac combined with serum CRP is of great value in predicting the outcome of early threatened abortion.
【作者单位】：广东省潮州市妇幼保健院妇科;
【分类号】：R445.1;R714.21

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