女性不孕症患者抗心磷脂抗体和抗β2-糖蛋白1抗体的检测及临床应用

摘要

Objective To analyze the correlation of different antiphospholipid antibody isotypes in female infertility.Methods Selected 296 patients with female infertility and 31 normal female between May 2015 to August 2015 in Dalian Women’s and Children’s Medical Centre.All the antibodies were detected by chemilumininescence.The positiverate of antipholipid an-tibodies in female infertility patients and health controls were calculated.The concentrations of antiphospholipid antibodies in different groups were compared with Mann-Whitney U test.Results The positive rate of aCL IgG of female infertility and normal female were 0.34% and 0.00%.The positive rate of aCL IgM of female infertility and normal female were 1.35%and 0.00%.The positive rate ofβ2 GPⅠ IgG of female infertility and normal female were 0.00% and 0.00%.The positive rate ofβ2 GPⅠ IgM of female infertility and normal female were 0.34% and 0.00%.aCL IgG were differet beween female infertility and normal female (P=0.013),others had on significant difference.Conclusion Need to detect LA,combined with aCL and anti-β2 GPⅠ,exclusively diagnose APS,layed the foundation of sequential treatment.%目的：探讨不同亚型（IgG和 IgM）抗心磷脂抗体（aCL）和抗β2糖蛋白Ⅰ抗体（anti-β2 GPⅠ）与女性不孕症的关系。方法选取2015年5～8月大连市妇女儿童医疗中心确诊的女性不孕症患者296例和同期的健康体检者31例，应用化学发光法对两组的 IgG和 IgM型 aCL和 anti-β2 GPⅠ进行检测。计算女性不孕症组及健康对照组中不同亚型抗磷脂抗体的阳性率，两组间抗体浓度分布的比较采用Mann-WhitneyU检验。结果 aCL IgG在女性不孕症和健康组中的阳性率分别为0.34％和0.00％，aCL IgM在女性不孕症和健康组中的阳性率分别为1.35％和0.00％，β2 GPⅠIgG在女性不孕症和健康组中的阳性率均为0.00％，β2 GPⅠIgM在女性不孕症和健康组中的阳性率分别为0.34％和0.00％。aCL IgG在两组间的比较差异有统计学意义（P＝0.013），其余三项指标女性不孕症组与健康对照组检验差异均无统计学意义。结论实验室还要进一步检测狼疮样抗凝物（LA），综合上述指标，排除女性不孕症患者中患有抗磷脂综合征的患者，为后续治疗奠定实验室基础。