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目的探讨彩超联检血清β-HCG、P水平对宫外孕患者的诊断价值。方法应用彩超和化学发光法对33例宫外孕患者进行彩超和血清β-HCG、P的水平检测,并与35例正常妊娠孕妇作比较。结果宫外孕组患者血清β-HCG的含量为(25.8±15.6)mIU/ml,而正常孕妇组含量为(89.4±21.2)mIU/ml,宫外孕组血清β-HCG水平均显著低于正常孕妇组,2组比较差异有统计学意义(P<0.05)。宫外孕组患者血清P水平含量为(10.4±3.2)ng/ml,而正常孕妇组含量为(28.9±10.2)ng/ml,宫外孕组血清P水平显著低于正常孕妇组,2组比较差异有统计学意义(P<0.05)。宫外孕组血清β-HCG水平与P水平呈显著性正相关(γ=0.5784,P<0.01)。结论彩超联检血清β-HCG和P水平的变化对宫外孕患者的病情、探讨其发病机理和预后判断均有一定的临床实用价值。
Objective To investigate the diagnostic value of serum β-HCG and P levels in patients with ectopic pregnancy by color Doppler echocardiography. Methods The color Doppler echocardiography and chemiluminescence were used to detect the levels of β-HCG and P in 33 cases of ectopic pregnancy and compared with 35 normal pregnant women. Results The serum levels of β-HCG in ectopic pregnancy group were (25.8 ± 15.6) mIU / ml, while those in normal pregnant women group were (89.4 ± 21.2) mIU / ml. The serum levels of β-HCG in ectopic pregnancy group were significantly lower than those in normal pregnant women group The difference between the two groups was statistically significant (P <0.05). The level of serum P in ectopic pregnancy group was (10.4 ± 3.2) ng / ml, while that in normal pregnant women was (28.9 ± 10.2) ng / ml. The serum P level in ectopic pregnancy group was significantly lower than that in normal pregnant women Significance (P <0.05). Ectopic pregnancy serum β-HCG levels and P levels were significantly correlated (γ = 0.5784, P <0.01). Conclusions The changes of serum levels of β-HCG and P in patients undergoing echocardiography combined with echocardiography may have clinical value in the pathogenesis and prognosis of ectopic pregnancy.