血清β-HCG 及孕酮变化在异位妊娠保守治疗中的预测价值
张峰1
作者信息
- 1. 山东省青岛市黄岛区人民医院妇科 266400
- 折叠
摘要
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。
Abstract
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.
关键词
异位妊娠/β-/HCG/孕酮/保守治疗Key words
Ectopic Pregnancy/β- HCG/Progesterone conservative treatment引用本文复制引用
出版年
2014
NETL
NSTL
万方数据