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目的分析免疫因素引起的复发性流产的原因。方法用免疫检查方法对不明原因的多次流产患者进行检测。结果通过检测抗心磷脂抗体(ACA)IgG和IgM阳性,狼疮抗凝物(LAC),抗子宫内膜抗体(EMAb),抗精子抗体(AsAb)均为阴性。部分凝血活酶时间(APTT)45s(正常值(37.0±3.3)s),确诊为自身免疫性复发性流产。结论对于复发性流产的患者特别是原因不明患者应进行ACA及LAC的检测可对临床提供诊断依据,并降低流产几率是有重要意义的。
Objective To analyze the causes of recurrent spontaneous abortion caused by immune factors. Methods Immunoassay methods were used to detect multiple unexplained abortion patients. Results The positive results of anticardiolipin antibodies (ACA) IgG and IgM, LAC, EMAb and AsAb were all negative. Partial thromboplastin time (APTT) 45s (normal (37.0 ± 3.3) s), diagnosed with autoimmune recurrent spontaneous abortion. Conclusions For patients with recurrent spontaneous abortion, especially in patients with unknown causes should be ACA and LAC detection can provide clinical diagnosis and reduce the chance of miscarriage is of great significance.