本文選題：血清β-人絨毛膜促性腺激素　切入點：輸卵管妊娠　出處：《東南大學(xué)學(xué)報(醫(yī)學(xué)版)》2015年05期 　論文類型：期刊論文

【摘要】：目的:研究輸卵管妊娠患者血清β-hCG水平動態(tài)變化與滋養(yǎng)細(xì)胞侵入輸卵管壁深度的關(guān)聯(lián)性,為臨床治療輸卵管妊娠提供參考。方法:檢測110例患側(cè)輸卵管切除的輸卵管壺腹部妊娠患者術(shù)前48 h和手術(shù)當(dāng)天的血清β-hCG水平,術(shù)后病理檢查確定滋養(yǎng)細(xì)胞侵入輸卵管壁的深度,采用Kruskal-Wallis H檢驗進行統(tǒng)計分析。結(jié)果:36例Ⅰ期(滋養(yǎng)細(xì)胞侵入黏膜層)輸卵管妊娠患者48 h血清β-hCG水平平均降低18.35%,32例Ⅱ期(侵入肌層)患者血清β-hCG水平平均升高31.95%,42例Ⅲ期(侵入漿膜層)患者血清β-hCG水平平均升高37.55%,3組間差異具有統(tǒng)計學(xué)意義(P0.05)。Ⅰ期患者β-hCG水平降低幅度低于Ⅱ期和Ⅲ期患者升高幅度,Ⅱ期患者升高幅度低于Ⅲ期患者(P0.05)。結(jié)論:輸卵管妊娠患者術(shù)前48 h血清β-hCG水平變化程度與滋養(yǎng)細(xì)胞侵入輸卵管壁深度呈正相關(guān),其可以作為臨床上滋養(yǎng)細(xì)胞浸潤程度判斷的一項參考指標(biāo)。
[Abstract]:Objective: to study the relationship between the dynamic changes of serum 尾 -hCG level and the depth of trophoblast invasion into the tubal wall in patients with tubal pregnancy. Methods: serum 尾 -hCG levels were measured in 110 patients with tubal tubal ectopic pregnancy after salpingotomy 48 hours before operation and on the day of operation. The depth of trophoblastic invasion of fallopian tube wall was determined by postoperative pathological examination. Results the serum 尾 -hCG level in 36 cases of stage 鈪，

本文編號：1640832