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目的探讨腹腔血与静脉血人绒毛膜促性腺激素(human chorionic gonadotrophin,HCG)比值(RPHCG/VHCG)在诊断异位妊娠中的价值。方法研究对象选择2010年1月~2012年1月在本院进行急救的262例腹腔内出血者。其中异位妊娠组有156例。其余为宫内妊娠合并腹腔积血组,即hIUP组106例。在入院后立即抽取每位患者的两份血样:腹腔以及静脉血。分别测定样本的HCG。对RPHCG/VHCG的意义进行分析。结果两组的RPHCG/VHCG比值有较大的差异。其中hIUP组均低于1.0。并且检查结果显示,其腹腔积血的颜色是浅红色。而异位妊娠组的平均比值≥1.0。结合散点分析结果 ,异位妊娠的比值均在1.0之上。结论 RPHCG/VHCG的比值对于异位妊娠有重要的意义。当其>1时可以帮助临床的确诊。
Objective To investigate the value of peritoneal blood and venous blood human chorionic gonadotrophin (HCG) ratio (RPHCG / VHCG) in the diagnosis of ectopic pregnancy. Methods Subjects were selected from January 2010 to January 2012 in our hospital for emergency 262 cases of intra-abdominal hemorrhage. 156 cases of which ectopic pregnancy group. The remaining intrauterine pregnancy group with intraperitoneal hemorrhage, hIUP group of 106 cases. Two blood samples for each patient were taken immediately after admission: peritoneal and venous blood. The samples were tested for HCG. The significance of RPHCG / VHCG is analyzed. Results There was a big difference in RPHCG / VHCG ratio between the two groups. The hIUP group was lower than 1.0. And examination showed that the color of the blood in the celiac is light red. The average ratio of ectopic pregnancy group ≥ 1.0. Combined with scatter analysis results, the ratio of ectopic pregnancy are above 1.0. Conclusion The ratio of RPHCG / VHCG has important significance for ectopic pregnancy. When it> 1 can help clinical diagnosis.