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目的探讨腹腔血人绒毛膜促性腺激素(HCG)测定在异位妊娠中的临床应用。方法对158例腹腔内出血患者盆腔积血及其静脉血HCG进行定量测定,同时定性检测其盆腔积血及尿HCG,并比较。结果异位妊娠患者盆腔积血HCG浓度明显高于其静脉血,定性检测其盆腔积血HCG也明显优于尿液。结论盆腔积血HCG的定性和定量检测对提高不典型异位妊娠的诊断及鉴别其他类型的腹腔内出血有实用价值,能及时为手术治疗提供理论依据。
Objective To investigate the clinical application of intraperitoneal human chorionic gonadotropin (HCG) in ectopic pregnancy. Methods 158 patients with intra-abdominal hemorrhage pelvic hemorrhage and venous blood HCG quantitative determination of both qualitative detection of pelvic hemorrhage and urine HCG, and compared. Results In patients with ectopic pregnancy, the concentration of HCG in pelvic hemorrhage was significantly higher than that in venous blood, and the qualitative detection of HCG in pelvic hemorrhage was also superior to urine. Conclusions Qualitative and quantitative detection of pelvic hemorrhage HCG has practical value in improving the diagnosis of atypical ectopic pregnancy and in identifying other types of intraperitoneal hemorrhage, and can provide a theoretical basis for surgical treatment in time.