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血清β-HCG 及孕酮变化在异位妊娠保守治疗中的预测价值

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探讨血清β-HCG(β人绒毛膜促性腺激素)及孕酮变化在异位妊娠保守治疗转归的预测价值。方法:选择异位妊娠保守治疗病例132例,其中成功101例,失败31例;采用统一治疗方案:甲氨喋呤( MTX)联合米非司酮( Ru486)。所有病例治疗前及治疗第4天、7天、10天、14天行孕酮及β-HCG 检查。分析治疗中孕酮及β-HCG 变化与治疗结局的关系。结果:治疗前β- HCG 值与孕酮值呈正相关。保守治疗成功与否与治疗前β- HCG 水平、孕酮水平有关,与血 HCG 及孕酮变化关系更密切。结论:血β-HCG 及孕酮水平及变化可作为预测保守治疗成功与否的重要参考指标。
To explore the Predicting Value of Serumβ-HCG levels and Progesterone in the Treatment of in Ectopic pregnancy(EP) after conservative treatment .Methods:142 patients were submitted to the systemic medical treatment.Al conservative <br> treatment patients were treated with multidose of MTX and Ru486 .The serum levels ofβ- HCG and Progesterone <br> were detected before treatment and on day4, 7,14 after the therapy. Results β-HCG levels was positively correlated <br> with Progesterone levels before treatment. ( spearman correlation).Whether conservative treatment was successful or not was related with β-HCG levels and Progesterone levels, Especialy blood HCG and progesterone level variation after 7 days of drug treatment. Conclusion: β-HCG ang Progesterone values may be the important reference indexes to predict whether conservative treatment success or not.

Ectopic Pregnancyβ- HCGProgesterone conservative treatment

张峰

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山东省青岛市黄岛区人民医院妇科 266400

异位妊娠 β- HCG 孕酮 保守治疗

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(24)
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