早期未知部位妊娠的超声及血清β-hCG特点对其妊结局的指导意义

发布时间：2019-03-22 10:55

【摘要】：目的：本研究分析总结了早期“未知部位妊娠”的超声及血清β-hCG特点对妊娠结局的评估价值。方法：收集109例病例,按妊娠结局分为三组：宫内妊娠活胎组(IUP)31例、宫内早孕流产组(IUPM)21例、异位妊娠组(EP)57例,分析其子宫内膜厚度、妊娠黄体血流信号分布情况,血清β-hCG48h增长情况及阴道流血情况。结果：IUP组、IUPM组及EP组内膜厚度分别为(1.25±0.22)cm、(0.78±0.30)cm、(0.75±0.31)cm,P=0.000,差异有统计学意义；IUP组、IUPM组、EP组妊娠黄体血流信号缺失分别有12例(38.7%)、12例(57.1%)、52例(91.2%),P=0.000,差异有统计学意义；IUP.IUPM及EP的血清β-hCG48h增长率60%的例数分别为29例(93.5%)、3例(14.3%)、19例(33.3%),≤60%的分别为2例(6.1%)、18例(85.7%)、38例(66.7%),P=0.000,差异有统计学意义。IUP.IUPM.EP三组患者阴道流血分别为5例(45.45%)、18例(85.71%)、57例(100%),P=0.000。结论：子宫内膜厚度、妊娠黄体血流信号缺失情况、血清β-hCG48小时增长率以及阴道流血对早期未知部位妊娠结局有一定临床指导意义。
[Abstract]:Objective: This study summarized the value of early "Unknown site pregnancy" ultrasonic and serum-hCG-hCG in the evaluation of pregnancy outcome. Methods:109 cases were collected and divided into three groups according to the outcome of pregnancy:31 cases of intrauterine pregnancy (IUP),21 cases of IUPM and 57 cases of ectopic pregnancy (EP). The growth of serum-hCG48h and the condition of vaginal bleeding. Results: The thickness of IUP group, IUPM group and EP group were (1.25-0.22) cm, (0.78-0.30) cm, (0.75-0.31) cm, P = 0.000, and the difference was statistically significant. There were 12 cases (38.7%),12 (57.1%),52 (91.2%), P = 0.000, respectively. There were 29 cases (93.5%),3 (14.3%),19 (33.3%), and 60% in the serum of IUP, IUPM and EP, respectively, of which were 2 (6.1%),18 (85.7%),38 (66.7%), P = 0.000, and the difference was of statistical significance. There were 5 cases (45.45%),18 (85.71%),57 (100%), P = 0.000, respectively. Conclusion: The thickness of the endometrium, the loss of the corpus luteum blood flow signal, the growth rate of the serum calcium-hCG48 hours and the vaginal bleeding are of great significance to the early unknown part of the pregnancy outcome.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R445.1

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