子宫螺旋动脉血流参数联合血清孕酮、βHG检测预测早期先兆流产的临床研究.docVIP

子宫螺旋动脉血流参数联合血清孕酮、3 -HCG检测预测早期先兆流产的临床研究 文细娇陈燕桢陈燕君 (潮州市湘桥区妇幼保健院广东潮州521000) 】R的：探讨子宫螺旋动脉血流参数联合血淸孕酮、beta;-HCG检测 预测早期先兆流产的临床研究价值。方法：选取我院2011年至2013年就诊的具 有先兆流产临床症状的120例患者，根据临床症状及妊娠结局分为先兆流产组 93例，停经时间5?8周；难免流产组27例，停经时间6?8周。另选取120例 正常妊娠妇女做对照组，停经时间5?8周，分别比较三组患者子宫螺旋动脉血 流参数、血清孕酮、beta;-HCG及联合检测结果。结果：先兆流产组子宫螺旋动 脉Rl、PI值较对照组升高，差异明显，具有统计学意义(P0.05)；难免流产组 较先兆流产组RI值更高，差异明显，具有统计学意义(P0.05)。正常组及先兆 流产组血清孕酮、beta;-HCG值均显著高于难免流产组(P0.05),具有统计学 意义?’子宫螺旋动脉RI联合孕酮、beta;-HCG检测特异性及准确性较其他单独 检测指标升高，差异明显，具有统计学意义(P0.05)。结论：联合子宫螺旋动 脉血流参数、血清孕酮及beta;-HCG检测可提高早期先兆流产的检出率，且能在 一定程度上反映先兆流产预后，为临床提早展开治疗提供有力依据，值得临床推 广。 关键词】先兆流产子宫螺旋动脉血流孕酮 beta;-HCG 】R446 】A 】1672-5085 (2014) 11-0070-02 Clinical Research of Combining Uterine Spiral Artery Blood Flow Parameters, Serum Progesterone and ?-HCG Test in Prediction Outcome of Early Threatened Abortion WEN Xijiao, CHEN Yanjun, CHEN Yanzhen (Maternity and Infant Health Hospital of Xiangqiao District, Chaozhou City,521000) Abstract】 objective: To investigate the clinical value of uterine spiral artery blood flow parameters，serum progesterone and ?-HCG Test in prediction outcome of early threatened abortion. Methods: 120 cases of threatened abortion patients were selected in our hospital from 2011 to 2013,among whom 93 cases of threatened abortion were divided into the first group with a 5 ?8 weeks of menopause , according to the clinical symptoms and pregnancy outcome; 27 cases of Inevitable abortion into the second group with a 6 ?8 weeks menopause. Another 120 cases of normal pregnant women(the third group) with a 5 ?8 weeks of menopause were also selected to compare the results of examing alone with the results of joint detection .Results: The uterine spiral artery Rl, PI of the first group are comparatively higher than the other groups with statistical significance (P lt; 0.05);The uterine spiral artery Rl of the second group is even higher than the first group ,which is obviously different with statistical significance (P lt; 0.05); The serum progesterone and ?