首页|孕早期血清孕酮、雌二醇、人绒毛膜促性腺激素水平与胚胎停育关系的研究进展

孕早期血清孕酮、雌二醇、人绒毛膜促性腺激素水平与胚胎停育关系的研究进展

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近年来,在胚胎停育发生率不断升高的趋势下,通过何种方法进行预测并给予提前干预,从而降低其发生风险成为临床急需解决的一大难题.胚胎停育的诱因较多且复杂,其中内分泌因素属于临床研究的重要内容.现阶段,临床上在孕早期进行妊娠结局预测的主要指标涉及孕酮(P)、雌二醇(E2)及人绒毛膜促性腺激素(HCG)等,临床发现有胚胎停育史者上述指标水平存在异常表达的现象.通过查阅诸多相关文献发现,不同孕龄者上述指标水平存在一定规律,即孕 4 周P、E2 通常处于最佳临界值状态,孕 6 周前HCG上升最快,而进入孕 7 周后P、E2 处于黄体-胎盘转换期,到孕 8~10 周上升至最高水平,此阶段也是决定妊娠能否顺利进行的关键阶段.因此,对不同孕龄者进行P、E2、HCG检测,了解其与妊娠结局存在的相关性,可有效反映胚胎发育状态,为早期治疗及干预提供一定参考.
Research Progress on the Relationship Between Serum Progesterone,Estradiol,Human Chorionic Gonadotropin Levels in Early Pregnancy and Embryo Development Arrest
In recent years,with the increasing incidence of embryo damage,how to predict and give early interven-tion to reduce the risk of embryo damage has become a major problem that needs to be solved urgently in clinic.There are many complicated causes of embryo damage,among which endocrine factors are important contents of clinical research.At present,the main indicators for predicting pregnancy outcomes in early pregnancy involve pro-gesterone(P),estradiol(E2)and human chorionic gonadotropin(HCG),etc.It is found that there are abnormal ex-pressions of these indexes in patients with a history of embryo damage.Through consulting related literatures,it is found that there are certain regularities in the above-mentioned index levels in different gestational ages,that is,P and E2 are usually in the optimal critical state at 4 weeks of pregnancy,and HCG rises the fastest before 6 weeks of pregnancy.After 7 weeks of pregnancy,P and E2 are in the luteal-placental transition period,and rise to the highest level at 8 to 10 weeks of pregnancy.This stage is also the key stage to determine whether pregnancy can proceed smoothly.Therefore,the detection of P,E2 and HCG in different pregnancy ages to understand their corre-lation with pregnancy outcome can effectively reflect the status of embryonic development status and provide some reference for early treatment and intervention.

Embryo abortionEarly pregnancyProgesteroneEstradiolHuman chorionic gonadotropin

潘琳

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天津市和平区妇产科医院,天津 300020

胚胎停育 孕早期 孕酮 雌二醇 人绒毛膜促性腺激素

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(4)
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