首页|血清VEGF在早期妊娠不同结局中的检测及临床意义

血清VEGF在早期妊娠不同结局中的检测及临床意义

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目的:探讨早期各种正常及异常妊娠血清血管内皮生长因子(VEGF)水平变化及其临床意义.方法:随机选取妊娠6 wk左右异常妊娠妇女106例,均随访确诊,其中输卵管妊娠破裂组34例,输卵管妊娠流产组21例,自然流产组30例,胚胎停育组21例,同期正常宫内妊娠20例.酶联免疫吸附法(ELISA)检测血清VEGF水平.结果:①输卵管妊娠破裂组血清VEGF水平显著高于输卵管妊娠流产组及其他各组(P均<0.01);②输卵管妊娠流产组及破裂组血清VEGF水平与β-HCG变化类型之间均无相关性;③输卵管妊娠破裂组、输卵管妊娠流产组血清VEGF水平均与阴超声像图特征具有相关性(分别为P<0.05,P<0.01).结论:血清VEGF水平升高时,输卵管妊娠妇女发生破裂的可能性增加.
Detection and clinical significance of serum vascular endothelial growth factor in early normal and abnormal pregnancy
AIM:To investigate the variation of the serum concentration of vascular endothelial growth factor(VEGF)and their clinical significance in early normal and abnormal prgnancy.METHODS:The 106 women of abnormal pregnancy at about 6 weeks were selected randomly,who subsequently were confirmed ruptured tubal pregnancy(n=34),tubal abortion(n=21),spontaneous abortion(n=30),arrested intrauterine pregnancy(n=21),the normal intrauterine pregnancy women(n=20)were selected at the same period.The concentrations of serum VEGF were measured by enxyme-linked immunosorbent assay(ELISA)methods.RESULTS:①The median VEGF concentrations in ruptured tubal pregnancy were significantly higher than that in tubal abortion and other groups(P<0.01).②The median VEGF concentrations in ruptured tubal pregnancy and tubal abortion had no correlation with the type of variation of serum β-HCG (P>0.05).③The median VEGF concentrations in ruptured tubal pregnancy and tubal abortion had statistical correlation with the character of vaginal uhrasonography(P<0.05,P<0.01).CONCLUSION:The possibility of rupture in women of tubal pregnancy increased when the concentrations of serum VEGF step up.

VEGFrupture of tubal pregnancytubal abortion

孙琪、陈高进、杨爱宏

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兰州大学第一医院妇产科,甘肃,兰州,730000

血管内皮生长因子 输卵管妊娠破裂 输卵管妊娠流产

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(24)
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