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目的:探讨血清孕酮及孕激素水平在稽留流产早期诊断中的价值。方法:选择2011年1月-2012年12月2年内早期宫内妊娠伴阴道流血患者498例,按妊娠结局将患者分为先兆流产组286例,稽留流产组212例。对两组病例的血清孕酮、孕激素水平做动态监测。结果:先兆流产组血清孕酮水平明显高于稽留流产组,而孕激素水平明显低于稽留流产组,两组血清孕酮、孕激素水平均具有统计学差异(P<0.01)。结论:先兆流产组与稽留流产组血清孕酮、孕激素水平差异明显,血清孕酮、孕激素水平的监测可以作为稽留流产早期诊断的一种有力手段。
Objective: To investigate the value of serum progesterone and progesterone in the early diagnosis of missed abortion. Methods: A total of 498 cases of early intrauterine pregnancy with vaginal bleeding within 2 years from January 2011 to December 2012 were selected. According to the outcome of pregnancy, 286 patients were divided into threatened abortion group and 212 aborted abortion group. Serum progesterone and progesterone levels were monitored dynamically in both groups. Results: Serum progesterone level in threatened abortion group was significantly higher than that in missed abortion group, while the level of progesterone was significantly lower than that in missed abortion group. Serum progesterone and progesterone levels were significantly different between the two groups (P <0.01). Conclusion: The levels of serum progesterone and progesterone in the threatened abortion group and missed abortion group are obviously different. The monitoring of serum progesterone and progesterone levels can be used as a powerful means to diagnose early missed abortion.