血清β-HCG、孕酮联合B超动态测定在稽留流产早期诊断中的价值

摘要

Objective To explore the value of serum β-HCG and progesterone combined with ynamic B-ultrasonography in the early diagnosis of missed abortion.Methods Serum levels of β-HCG and progesterone were measured twice and B -ultrasonography was also performed twice on 82 women in their first trimester of intrauterine pregnancy who had vaginal bleeding ( a 5 to7-day interval ) B -ultrasonography examination.According to the pregnancy outcomes,the women were divided into threatened abortion group( 54 women ) and missed abortion group( 28 women ).Results Levels of serumβ-HCG and progesterone were significantly higher in threatened abortion group than in missed abortion group ( P ＜ 0.05 ).The early diagnostic rate of missed abortion could be 100％ by detection of β-HCG and progesterone combined with B-ultrasonography.Conclusions Dynamic detection of serum levels of β-HCG and progesterone combined with B-ultrasonography has an important clinical value in the improvement of the early and differential diagnosis of missed abortion.%目的 探讨血清β -HCG、孕酮联合B超动态测定在稽留流产早期诊断的价值.方法 对82例早期宫内妊娠有阴道流血的患者进行2次(间隔5～7天)检测血β-HCG及孕酮值,并进行2次(间隔5～7天)B超检查,根据妊娠结局分为先兆流产组(54例)和稽留流产组(28例).结果 先兆流产组血清β -HCG及孕酮值明显高于稽留流产组(P＜ 0.05),再结合B超检查,稽留流产的早期诊断率可达100％.结论 联合动态检测血清β-HCG、孕酮值,结合B超检查,对于提高稽留流产的早期诊断和鉴别诊断有重要临床价值.